腹腔镜疝修补术与传统修补术治疗腹股沟疝的效果比较

目的:探讨腹腔镜手术修补腹股沟疝的临床效果,为普外科手术治疗提供可借鉴的方法。方法:选取2011年5月-2013年8月在我院接受疝修补术的112例患者的临床资料进行分析。根据手术方式,将所选病例分为传统开腹式疝修补术组(48例)和腹腔镜疝修补术组(64例)。分析并比较两组患者的术中出血量、手术时间、排气时间、肢体活动时间、复发率及并发症的发生率等。结果:腹腔镜疝修补术组患者的术中出血量、手术时间、排气、肢体活动及住院时间等临床指标均显著优于采用传统疝修补术的患者,差异显著且具有统计学意义(P0.05)。腹腔镜疝修补术组并发症发生率为21.88%,虽然低于传统疝修补术组(39.58%),但无显著性差异(P0.05)。腹腔镜疝修补术组复发率为3.13%,明显低于传统疝修补术组(8.33%),差异具有统计学意义(P0.05)。结论:腹腔镜疝修补术具有创伤小、恢复快及复发率低等优势,效果显著值得推广。但术后易发生肠粘连、阴囊血肿等并发症,术中应妥善处理,尽量减少或避免并发症的发生率。

Clinical Efficacy of the Transabdominal Preperitoneal Prosthetic on the Treatment of Inguinal Hernia

Objective:To discuss the clinical effects of transabdominal preperitoneal prosthetic on the treatment of the inguinal hernia in order to make a reference to clinical surgeries.Methods:A retrospective analysis was performed about the clinical data of 112 patients with inguinal hernia who were accepted the operation of herniorrhaphy in our hospital from May 2011 to August 2013. According to the different operation methods, the selected patients were divided into the open surgery group (48 cases) and the TAPP group (64 cases). The patients in the open surgery group were received the routine operation method, while the patients in the TAPP group were treated by the laparoscope. Then the operation time, the blood loss, the time of aerofluxus and the activities, the hospitalization, the rate of recurrence and the incidence of postoperative complications of patients in the two groups were compared and analyzed.Results:The operation time, the blood loss, the time of aerofluxus and activities and the hospitalization of patients in the TAPP group were obviously better than those of the patients in the open surgery group with statistically significant differences (P<0.05); The incidence of complications in the TAPP group was 21.88% which was lower than 39.58% in the open surgery group, but there was no significant difference (P>0.05); The rate of recurrence in the TAPP group was 3.13% which was lower than 8.33% in the open surgery group with statistically significant difference (P<0.05).Conclusion:The transabdominal preperitoneal prosthetic is worthy of promoting to treat the herniorrhaphy with less trauma, better recovery and lower rate of recurrence. However, the postoperative complications, such as the intestinal adhesion, scrotal hematoma, which were brought by the laparoscopic surgery might be increased. Thus, it is suggested that we should take the proper decision to reduce or avoid the complications.