不同修补方式治疗腹股沟疝的临床疗效

doi:10.3877/cma.j.issn.1674-392X.2019.03.019

中华疝和腹壁外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (03) : 264 -266. doi: 10.3877/cma.j.issn.1674-392X.2019.03.019

所属专题：文献；

论著

不同修补方式治疗腹股沟疝的临床疗效

许笃行¹, 何美旋¹, 陈宇锋¹^,^†(

)

^1. 363000　漳州，福建医科大学附属漳州市医院肝胆胰脾疝外科

收稿日期:2018-11-12 出版日期:2019-06-18
通信作者: 陈宇锋
基金资助:
医用胶原蛋白海绵联合聚丙烯疝修补网在老年腹股沟疝患者无张力疝修补手术中的应用研究(13A051)

Comparison of clinical outcomes and safety with different therapies for inguinal hernia in patients

Duxing Xu¹, Meixuan He¹, Yufeng Chen¹^,^†()

^1. Department of Hepatobiliary, Pancreatic and Splenic & Hernia Surgery, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou 363000, China

Received:2018-11-12 Published:2019-06-18
Corresponding author: Yufeng Chen

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目的

对比腹腔镜完全腹膜外疝修补术（laparoscopic totally extra-peritoneal，TEP）与平片式无张力疝修补术治疗腹股沟疝的临床疗效。

方法

回顾性分析2015年5月至2017年5月，福建医科大学附属漳州市医院127例腹股沟疝患者的临床资料。按照手术方式不同分为2组，行TEP术式患者68例（TEP组），行平片式无张力疝修补术患者59例（平片式组）。比较2组患者术中情况、术后恢复、并发症以及复发率，并评价2种修补手术的疗效及安全性。

结果

TEP组的手术时间、术中出血量、术后进食时间、下床时间以及恢复正常活动所需时间均明显低于平片式组，差异有统计学意义（P<0.05）。2组的住院时间、并发症的发生率以及术后复发率比较，差异无统计学意义（P>0.05）。

结论

TEP治疗腹股沟疝具有手术时间短、创伤小、术后恢复快的优点，值得临床推广与应用。

关键词: 疝，腹股沟, 疝修补术, 腹腔镜

Objective

To investigate and analyze the difference of clinical efficacy and safety between laparoscopic totally extraperitoneal inguinal hernia repair (TEP) and Lichtenstein tension-free hernioplasty for patients with inguinal hernia.

Methods

127 patients diagnosed with inguinal hernia were retrospectively collected in this study, of which 68 patients were treated with TEP, while the other 59 patients were treated by Lichtenstein tension-free hernioplasty. Intra-operative findings, postoperative recovery, complications and recurrence rate between the two groups were compared and analyzed.

Results

Statistics analysis of operative time, blood loss, postoperative fed time, time of of-bed and time needed to resume normal activity between these two groups showed significant difference (P<0.05), while there was no significant difference in postoperative hospital stay (P>0.05). There were no significant difference in complications and recurrence rate between the two groups as P>0.05.

Conclusion

TEP treatment of inguinal hernia has the advantages of short operation time, small trauma and rapid postoperative recovery. It is worthy of clinical promotion and application.

Key words: Hernia, inguinal, Herniorrhaphy, Laparoscopes

表1 TEP组与平片式组手术情况的比较（±s）

组别	例数	手术时间(min)	术中出血量(ml)	进食时间(h)	下床时间(h)	住院时间(d)	恢复正常活动时间(d)
TEP组	68	41.2±3.6	10.2±2.6	12.2±1.5	8.6±1.5	3.5±1.2	4.3±1.2
平片式组	59	61.6±4.9	22.3±3.1	20.5±2.4	24.8±3.4	3.9±1.8	8.9±2.1
t值		-26.960	-23.900	-23.698	-35.499	-1.490	-15.400
P值		<0.001	<0.001	<0.001	<0.001	0.139	<0.001

表1 TEP组与平片式组手术情况的比较（±s）

组别	例数	手术时间(min)	术中出血量(ml)	进食时间(h)	下床时间(h)	住院时间(d)	恢复正常活动时间(d)
TEP组	68	41.2±3.6	10.2±2.6	12.2±1.5	8.6±1.5	3.5±1.2	4.3±1.2
平片式组	59	61.6±4.9	22.3±3.1	20.5±2.4	24.8±3.4	3.9±1.8	8.9±2.1
t值		-26.960	-23.900	-23.698	-35.499	-1.490	-15.400
P值		<0.001	<0.001	<0.001	<0.001	0.139	<0.001

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