比较腹腔镜经腹腹膜前疝修补术（TAPP）与平片无张力疝修补术（Lichtenstein）在腹股沟嵌顿疝中的临床疗效及安全性。

回顾性收集2019年1月至2023年12月湖北省孝感市第一人民医院接受疝修补手术的118例腹股沟嵌顿疝患者的临床资料。按照术式不同分为2组，TAPP组患者接受TAPP治疗（56例），Lichtenstein组患者接受Lichtenstein手术治疗（62例）。比较2组患者的住院时间、手术时间、术中出血量以及术后疼痛视觉模拟评分。记录并分析2组患者术后并发症及随访复发率发生情况。

TAPP组与Lichtenstein组手术时间和术后复发率比较，差异无统计学意义（P>0.05）。TAPP组在术中出血量、术后疼痛评分及手术并发症发生率方面均显著低于Lichtenstein组，差异有统计学意义（P<0.05）。

腹股沟嵌顿疝手术TAPP与Lichtenstein手术同样安全有效，TAPP在术中出血量、术后疼痛及术后并发症方面更具优势。

To compare the clinical efficacy and safety of laparoscopic trans-abdominal preperitoneal hernia repair (TAPP) and Lichtenstein's tension-free hernia repair in the treatment of incarcerated inguinal hernia.

Clinical data of 118 patients with incarcerated inguinal hernia who underwent hernia repair surgery at Xiaogan No.1 People's Hospital in Hubei Province from January 2019 to December 2023 were retrospectively collected. The patients were divided into two groups based on the surgical method: the TAPP group (56 cases) underwent TAPP surgery, and the Lichtenstein group (62 cases) underwent Lichtenstein's procedure. The hospital stay, operative time, intraoperative blood loss, and postoperative pain visual analog scale (VAS) scores were compared between the two groups. Postoperative complications and follow-up recurrence rates were recorded and analyzed.

There was no statistically significant difference in operative time and postoperative recurrence rates between the TAPP group and the Lichtenstein group (P>0.05). The TAPP group showed significantly lower intraoperative blood loss, postoperative pain scores, and surgical complication rates compared to the Lichtenstein group, with statistically significant differences (P<0.05).

Both TAPP and Lichtenstein procedures are safe and effective for the treatment of incarcerated inguinal hernia. TAPP demonstrates advantages in terms of intraoperative blood loss, postoperative pain, and postoperative complications.