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开放式与腹腔镜下腹股沟疝修补术治疗132例腹股沟疝患者临床疗效研究
王双辉,李彦宁,刘红彬,丁召辉,樊宁,王建华
0
天津市北辰区中医医院普通外科天津 300400
摘要:
目的:比较开放式腹股沟疝无张力修补术(OTFH)与经腹腔腹膜前腹腔镜疝修补术(TAPP)的临床疗效。方法:回顾性分析2019年1月—2020年12月于我院住院的腹股沟疝患者132例,按照不同术式分为研究组和对照组,研究组(n=69)采用TAPP术式,对照组(n=63)采用OTFH术式。分别比较两组手术时间、出血量、术后下床时间、疼痛评分、住院时间、住院费用、并发症及复发情况。结果:研究组手术时间、术后下床时间、疼痛评分、住院时间均小于对照组,分别为(46.7±6.3)min vs(37.8±3.6)min、(1.3±0.4)d vs(2.2±0.6)d、(3.5±0.8)分vs(5.4±0.8)分、(6.4±2.2)d vs(8.5±3.2)d,差异有统计学意义(P<0.05);研究组住院费用高于对照组[(1.9±0.4)万元vs(1.0±0.3)万元],差异有统计学意义(P<0.05);研究组与对照组术中出血量、并发症及复发情况比较[(21.2±2.3)mL vs(21.6±2.0)mL、(6/69)vs(10/63)、(4/69)vs(5/63)],差异无统计学意义(P>0.05)。结论:OTFH和TAPP两种术式均为安全、有效的手术方法。与OTFH相比,TAPP术后患者能获得较好的受益。但其远期复发情况可能需要更长时间的随访。
关键词:  腹股沟疝  疝修补术  腹腔镜  经腹腔腹膜前腹腔镜疝修补术
DOI:10.3969/j.issn.1007-6948.2022.03.005
投稿时间:2021-09-23
基金项目:
Clinical Study on 132 Cases of Open and Laparoscopic Inguinal Hernia Repair
WANG Shuang-hui,LI Yan-ning,LIU Hong-bin
Department of General Surgery, Traditional Chinese Medicine Hospital, Beichen District, Tianjin 300400, China
Abstract:
Objective To compare the clinical effects of open tension-free inguinal hernia repair (OTFH) and transabdominal preperitoneal prosthesis (TAPP). Methods 132 patients with inguinal hernia hospitalized in our hospital from January 2019 to December 2020 were analyzed retrospectively. They were divided into study group and control group according to different surgical methods. The study group was treated with transabdominal preperitoneal prosthesis, including 69 patients, and the control group was treated with open tension-free inguinal hernia repair, including 63 patients. The operation time, bleeding volume, postoperative out of bed time, pain score, length of hospital stay, hospitalization expenses, complications and recurrence were compared between the two groups. Results The operation time, postoperative out of bed time, pain score and hospitalization time in the study group were less than those in the control group,(46.7±6.3) min vs (37.8±3.6) min, (1.3±0.4) d vs (2.2±0.6) d, (3.5±0.8) points vs (5.4±0.8) points, (6.4±2.2) d vs (8.5±3.2) d, which the differences were statistically significant (P<0.05). The hospitalization cost of the study group was higher than that in the control group, (1.9±0.4) million vs (1.0±0.3) million, which the difference was statistically significant (P<0.05). There were no significant differences in intraoperative bleeding, complications and recurrence between the study group and the control group (21.2±2.3) mL vs (21.6±2.0) mL, (6/69) vs (10/63), (4/69) vs (5/63) (P>0.05). Conclusion Both OTFH and TAPP are safe and effective methods. Compared with OTFH, patients treated with TAPP can obtain better benefits. Long term recurrence may require longer follow-up.
Key words:  inguinal hernia  Hernia repair  laparoscope  TAPP

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