摘要
目的观察并研究腹腔镜经腹腹膜前疝修补术(TAPP)与完全腹膜外疝修补术(TEP)两种手术方式对于双侧腹股沟疝的治疗效果。方法选取2014年10月—2016年7月于我院普外科治疗的双侧腹股沟疝患者84作为研究对象,将其随机分为两组各42例。分别采用TAPP手术或者TEP手术进行治疗,观察并比较两组患者的手术时间、住院时间、术中出血情况、术后疼痛持续时间以及术后并发症发生情况、术后远期复发率等。结果两组患者的手术时间、术中出血量、住院时间、术后疼痛持续时间、术后并发症发生率以及术后远期复发情况等各方面均无显著差异(P>0.05)。结论针对双侧腹股沟疝患者采用TEP和TAPP两种手术方式均能够安全有效的治疗该种疾病,虽手术方式不同,但整体疗效相似,需要根据患者的实际情况来选择合适的术式,促进患者康复。
] Objective To observe and study the therapeutic effect of laparoscopic transabdominal preperitoneal hernia repair （TAPP） and total extraperitoneal hernia repair （TEP） on two types of bilateral inguinal hernia. Methods 84 patients with bilateral inguinal hernia in department of general surgery of our hospital from October 2014 to July 2016 were selected as the research objects, and they were randomly divided into two groups, 42 cases in each group. Using TAPP or TEP surgical operation treatment, the operation time, hospitalization time, intraoperative bleeding, postoperative pain duration and postoperative complications, postoperative recurrence rate etc of the two groups were observed and compared. Results The results of this study showed no signifcant differences in the operation time, intraoperative blood loss, hospital stay, duration of postoperative pain, incidence of postoperative complications and postoperative long-term recurrence between the two groups（P 〉 0.05）. Conclusion Two kinds of operation modes of TEP and TAPP in patients with bilateral inguinal hernia can be a safe and effective treatment of the disease, although the surgery in different ways, but the overall effect is similar, need to choose the suitable operation according to the actual situation of patients, promote the rehabilitation of patients.[
出处
《中国卫生标准管理》
2017年第28期74-76,共3页
China Health Standard Management
关键词
双侧腹股沟疝
腹腔镜
疝修补术
经腹腹膜前
完全腹膜外
] bilateral inguinal hernia
laparoscopy
hernia repair
transabdominal preperitoneal
complete extraperitoneal
