摘要
目的探讨腹腔镜经腹腹膜前腹股沟疝修补术(TAPP)与疝环充填式无张力疝修补术(Rutkow术式)的临床应用。方法对2010年4月-2011年10月所进行的25例TAPP和74例疝环充填式无张力疝修补术进行同期非随机对照研究,随访时间6～24个月。结果 TAPP和疝环充填式无张力疝修补术的手术时间、住院费用差异有统计学意义(P<0.05);两组的术后住院天数、复发率、术后并发症(血清肿、神经感觉异常、阴囊积血等)差异无统计学意义(P>0.05)。结论 TAPP和疝环充填式无张力疝修补术在临床上各有优势,合理的选择可获得最佳的临床和卫生经济学效益。
Objective To explore the value of laparoscopic transabdominal preperitoneal hernia repair and mesh plug tension-free repair in inguinal hernia.Methods A non-randomized concurrent control study was performed including 25 TAPP and 74 mesh plug tension-free repair during Apr.2010 and Oct.2011,the cases were followed-up for 6 to 24 months.Results There was significant difference in operating time between TAPP and mesh plug tension-free repair.The cost in hospital of TAPP group was significantly higher than that of mesh plug tension-free repair group.There were no significant difference in postoperative hospital stay and recurrence rate.The seroma,transient neurapraxia and scrotal hematocele as postoperative complications,and there were no significant difference in two groups.Conclusion TAPP and mesh plug tension-free repair in clinical each had advantage,reasonable selection can offer the best clinical and cost-effective results.
出处
《中华全科医学》
2013年第3期364-364,420,共2页
Chinese Journal of General Practice
关键词
腹股沟疝
腹腔镜
疝环充填式疝修补
Inguinal hernia
Laparoscopes
Mesh plug tension-free repair
