摘要
目的探讨经腹腔镜腹腔腹膜前疝修补术（TAPP）和开放式无张力疝修补术治疗成人双侧腹股沟疝的临床治疗效果。方法回顾性分析103例成人双侧腹股沟疝手术的临床资料，其中TAPP组46例和开放组57例。比较两组手术时间、疼痛持续时间、住院费用、患者住院时间、术中出血量、术后并发症和术后复发率。结果TAPP组和开放组患者的平均手术时间分别是（79．8±9．6）min和（70．5±11．7）min（P〈0．05），疼痛持续时间分别是（1．6±1．2）d和（2．7±1．4）d（P〈0．05），住院费用分别为（14692．1±1479．7）元和（14101．5±1505．9）元（P〈0．05），住院时间分别是（2．8±1．2）d和（4．8±2．0）d（P〈0．05），其他指标差异均无统计学意义（P〉0．05）。结论TAPP和开放式无张力疝修补术均值得临床推广，TAPP具有并发症少、术后患者疼痛轻、康复快、复发率低等优点。
Objective To evaluate the clinical therapeutic efficacy of laparoscopic transabdominal preperitoneal hernia repair （ TAPP ） and open hernia repair surgery in treating adult bilateral inguinal hernia. Methods The clinical data of 103 patients with adult bilateral inguinal hernia were retrospectively analyzed. The surgical methods included laparoscopic transabdominal preperitoneal hernia repair （TAPP, n=46 ） and open hernia repair surgery （ OPEN, n=57 ） . Observed indicators included operation time, postoperative pain time, hospitalization costs and time, peri- operative bleeding, postoperative complications and recurrence rate. Results The operation time, postoperative pain time, hospitalization costs and time were different between TAPP group and OPEN group （ P〈0.05 ） , （79.8 ± 9.6 ） min vs. （ 70.5± 11.7 ） rain, （ 1.6 ± 1.2 ） d vs. （ 2.7 ± 1.4 ） d （ 14692.1 ±1479.7 ） MRB vs. （ 14101.5 ± 1505.9 ） RMB （ 2.8 ± 1.2 ） d vs. （ 4.8 ± 2.0 ） . The difference of remaining indicators were not statistically significant （ -0〉0.05 ） . Conclusions Both TAPP and open hernia repair surgery worth clinical popularization. TAPP takes more advantages of fewer complications, little pain, quick recovery and lower recurrence rate.
出处
《浙江临床医学》
2016年第8期1457-1458,共2页
Zhejiang Clinical Medical Journal
关键词
腹股沟疝
疝修补术
腹腔镜
无张力
Inguinal hernia Hernia repair Laparoscopy Tension-free
