对比并分析腹腔镜完全腹膜外疝修补术（TEP）与经腹腹膜前疝修补术（TAPP）治疗腹股沟疝的临床效果。

选取2016年5月至2018年1月，攀枝花市中西医结合医院收治的腹股沟疝患者94例，根据手术方式的不同将其分为试验组及对照组，每组47例。试验组行TEP，对照组行TAPP。比较2组临床相关指标、术后疼痛情况，并统计2组术后并发症发生率及复发率。

试验组手术时间和发现对侧隐匿疝量分别为（52.38±9.76）min和2.13%（1/47），与对照组（67.41±10.36）min和29.79%（14/47）比较，差异有统计学意义（t=7.239，χ²=13.406，P均<0.001）；试验组术后下床活动时间（3.04±0.72）d与对照组（3.28±0.89）d比较，差异无统计学意义（t=1.437，P=0.154）。自术前至术后2 d 2组疼痛视觉模拟评分（VAS）均呈下降趋势，差异有统计学意义（P<0.05）；但各时间点2组间VAS评分比较，差异无统计学意义（P>0.05）。试验组并发症患者4例，对照组6例，并发症发生率比较，差异无统计学意义（8.51% vs 12.77%，P>0.05）。试验组复发0，对照组复发1例（2.13%），差异无统计学意义（P>0.05）。

两种术式各有优缺点，临床中需要根据患者具体情况选择合适术式，以保证手术效果。

To compare and analyze the clinical effects of laparoscopic total extraperitoneal hernia repair (TEP) and transabdominal preperitoneal hernia repair (TAPP) in the treatment of inguinal hernia.

94 patients with inguinal hernia treated in Panzhihua City Hospital of Integrated Traditional Chinese and Western Medicine from May 2016 to January 2018 were selected, and divided into the experiment group and the control group according to the different operation method, with 47 cases in each group. The experiment group underwent TEP operation, and the control group underwent TAPP operation. The clinical relevant indicators and postoperative pain of the two groups were compared, and the postoperative complications occurrence rate and recurrence rate of the two groups were counted.

The operation time in the experiment group (52.38±9.76) minutes were significantly shorter than that in the control group (67.41±10.36) minutes; the amount of occult hernia on the contralateral side in the experiment group was significantly less than that of the control group (1/47 vs 14/47, P<0.05). There was no significant difference in the time of postoperative bed movement between the two groups (P>0.05). The VAS scores of the two groups showed a downward trend from before operation to 2 weeks after operation (P<0.05), but there was no significant difference in VAS scores between the two groups at each time point (P>0.05). There was no statistical difference between the two groups in the complications occurrence rate and recurrence rate (11.11% vs 13.33%; 0 vs 2.13%, P>0.05).

Both of the two types of operation have advantages and disadvantages. In clinical practice, it is necessary to select the appropriate one according to the specific situation of the patients to ensure the effect of operation.