摘要
腹股沟疝是外科常见疾病。随着医学的发展,疝修补术从传统张力疝修补,转变到无张力修补,再到腹腔镜修补。腹腔镜疝修补术治疗优势明显,经腹腔腹膜前疝修补术(transabdominal preperitoneal,TAPP)和全腹膜外疝修补术(totally extra-peritoneal,TEP)是目前国内常用的两种修补术式。长期以来,两种术式各有优缺点,本文从TAPP和TEP在治疗原发单侧疝的手术时间、术中及术后并发症、术后疼痛、总住院时长、治疗复发疝及双侧疝的疗效等多方面进行对比,得出成人原发单侧腹股沟疝最好选用TEP。在治疗复发疝时,优先考虑TAPP。在治疗双侧疝时,TAPP和TEP暂时未见明显差异。临床医师在使用腹腔镜治疗腹股沟疝时应选用更熟悉更合理的手术方式。
Inguinal hernia is a common disease in surgery.With the development of medicine,herniorrhaphy has changed from traditional tension herniorrhaphy to tension-free herniorrhaphy and then laparoscopic herniorrhaphy.At present,laparoscopic herniorrhaphy is an effective,commonly used surgical method in China,mainly including transabdominal preperitoneal hernia repair(TAPP)and total extraperitoneal hernia repair(TEP).They both have their advantages.This review is to compare operation time of primary unilateral hernia,intraoperative complications,postoperative complications,postoperative pain,hospital stays,and to choose the suitable treatment of bilateral hernia and recurrent hernia in TAPP and TEP.It shows that TEP is better in adult primary unilateral inguinal hernia,and TAPP is better in recurrent hernia.In the treatment of bilateral hernia,there is no significant difference between TAPP and TEP.Clinicians should choose a more reasonable and familiar surgical method when using laparoscopy to treat inguinal hernia.
作者
何苗
曾心雨
刘杰锋
HE Miao;ZENG Xin-yu;LIU Jie-feng(Department of General Surgery,Changsha Hospital Affiliated to Hunan Normal University, Changsha410006, Hunan, China)
出处
《中国现代手术学杂志》
2020年第1期71-75,共5页
Chinese Journal of Modern Operative Surgery
