分析不同固定补片方式应用于腹腔镜经腹腹膜前疝修补术（TAPP）中对腹股沟患者术后康复的影响。

回顾性收集2019年11月至2021年6月在丰县人民医院普外科治疗的95例腹股沟疝患者的临床资料，根据补片固定方式不同分为A组（医用胶，30例）、B组（常规缝合，28例）、C组（单针缝合，37例）。统计分析3组一般资料、手术相关情况，比较3组术后1、3、5、7 d疼痛情况及术前、术后1个月生活质量。随访术后早期并发症，慢性疼痛及复发情况。

C组手术时间、恢复日常活动时间、术后住院时间短于B组、A组（P<0.05），住院费用低于B组、A组（P<0.05）。3组术后1、3、5、7 d视觉模拟评分（VAS）均呈逐渐降低趋势，不同时间点比较，差异有统计学意义（P<0.05）；术后5、7 d VAS评分，C组均低于B组和A组（P<0.05）。术后1个月与术前比较，3组生活质量各项评分均升高，C组生理职能、社会功能、躯体疼痛、生命活力评分高于A组和B组（P<0.05）。术后早期（≤1个月），3组总并发症发生率（10.00%、7.14%、10.81%）比较，差异无统计学意义（P>0.05）；所有患者均获随访1年以上，随访期间，3组慢性疼痛（6.67%、3.57%、10.81%）及复发率（0、0、2.70%）比较，差异无统计学意义（P>0.05）。

在TAPP术中采用单针缝合固定补片与医用胶、常规缝合固定相比，可有效缩短手术时间，促进术后恢复，减少住院费用和术后疼痛，提高生活质量，且不增加腹股沟疝的复发率。

To analyze the effect of different mesh fixation methods in laparoscopic trans-abdominal preperitoneal (TAPP) inguinal hernia repair on postoperative rehabilitation.

Clinical data of 95 patients with inguinal hernia treated in the Department of General Surgery of Fengxian People's Hospital from November 2019 to June 2021 were retrospectively collected. All patients were divided into group A (30 cases), group B (28 cases) and group C (37 cases) according to different mesh fixation methods. Group A was fixed with medical adhesive, group B was fixed with conventional suture, and group C was fixed with single needle suture. The general data, operation conditions were analyzed. The pain at 1, 3, 5 and 7 d after operation and the quality of life before and one month after operation were compared among the three groups. Early postoperative complications, Chronic pain and recurrence during follow-up were compared among the three groups.

The operation time, recovery time during hospitalization and hospital stay time of group C were shorter than those of group B and group A (P<0.05), and the hospital costs in the group C were lower than those in group B and group A (P<0.05). The score of visual analogue scale (VAS) of the three groups decreased gradually at 1, 3, 5 and 7d after operation, and the difference was statistically significant at different time points. The VAS scores of group C were lower than those of group B and group A at 5 and 7d after operation (P<0.05). After 1 month of operation, all the scores of quality of life in the three groups were higher than those before operation, and the scores of physical function, social function, physical pain and vital energy of group C were higher than those of groups A and B (P<0.05). In the early postoperative period (≤1 month), the total complication rates among the three groups were 10.00%, 7.14%, and 10.81%, and the difference was not statistically significant (P>0.05). All patients were followed up for more than 1 year. During the follow-up period, the chronic pain rates (6.67%, 3.57%, 10.81%) and recurrence rates (0.00%, 0.00%, 2.70%) of the 3 groups were not significantly different (P>0.05).

When treating inguinal hernia patients with TAPP operation, compared with medical adhesive fixation and conventional suture fixation, single needle suture can effectively shorten the operation time, promote postoperative recovery, reduce hospitalization expenses and postoperative pain, improve the quality of life, and do not increase the recurrence rate of inguinal hernia.