比较自固定补片与普通聚丙烯补片在腹腔镜全腹膜外疝修补术（laparoscopic totally extra-peritoneal，TEP）中的应用效果。

选取2016年1月至2018年1月，重庆市开州区中医院收治的160例腹股沟疝患者为研究对象，回顾性分析其临床资料。所有患者均行TEP术式，根据术中使用补片的不同将其分为试验组（87例）及对照组（73例），2组均随访6个月。比较2组手术指标及疼痛情况，统计并比较2组术后并发症及疝复发情况。

试验组手术时间、铺片耗时、术后首次排便时间显著短于对照组，住院费用显著高于对照组，差异有统计学意义（P<0.05）；2组住院时间及术后首次排气时间比较，差异无统计学意义（P>0.05）。自术前至术后6个月，2组视觉模拟评分（visual analogue score，VAS）均呈下降趋势（P<0.05），术后1、2及6个月试验组VAS评分均显著低于对照组（P<0.05）。试验组并发症发生率（5.75%）显著低于对照组（16.44%），差异有统计学意义（P<0.05）；2组复发率比较，差异无统计学意义（P>0.05）。

自固定补片在TEP中的应用效果突出，可有效缩短手术时间、铺片时间与术后首次排便时间，且患者术后疼痛较轻、并发症发生率较低，但其费用较高，可在临床条件允许下优先选择自固定补片。

To compare the effect of self-gripping mesh and conventional polypropylene mesh in laparoscopic totally extraperitoneal hernioplasty (TEP).

160 patients with inguinal hernia admitted to Kaizhou district Traditional Chinese Medicine hospital from January 2016 to January 2018 were selected as the research objects, and their clinical data were retrospectively analyzed. All patients were treated with TEP, and they were divided into the experimental group (n=87) and the control group (n=73) according to the difference of mesh used during the operation. The two groups were followed up for 6 months. The clinical indicators and postoperative pain were compared between the two groups, and the complications and recurrence of hernia were compared between the two groups.

The operation time, paving time and first defecation time of the experimental group were significantly shorter than those of the control group, and the hospitalization expenses was significantly higher than those of the control group. (P<0.05). There was no significant difference in the hospitalization time and the first exhaust time between the two groups (P>0.05). The VAS scores of the two groups showed a downward trend from before operation to 6 months after operation (P<0.05), the experiment group was significantly lower than the control group at 1, 2 and 6 months after operation (P<0.05). The incidence of complications in the experimental group was significantly lower than that in the control group (5.75 vs. 16.44%, P<0.05). There was no significant difference in recurrence rate between the two groups (P>0.05).

The application of self-gripping mesh in TEP is very effective, which can effectively shorten the operation time, paving time and first defecation time, and the pain is lighter and the incidence of complications is lower, but the cost is higher. The results suggest that the self-gripping mesh should be given priority in clinical practice.