腹腔镜全腹膜外疝修补术与Lichtenstein疝修补术治疗腹股沟疝疗效比较

摘要

Objective To explore the clinical efficacy of Lichtenstein repair and laparoscopic totally extraperitoneal repair(TEP) for inguinal hernia. Methods The 78 inguinal hernia patients (2014.3 ～ 2016.11) were selected as the objects in our hospital,according to completely random principles,were divided into two groups. The control group received Lichtenstein repair surgery,the observation group were performed TEP. The operation condition,postoperative pain and complications of the two groups were observed. Results Observation group of the hospital stay was (5.03±1.21)d,the time of bedtime movement was (12.68±2.04)h. The probability of occurrence of postoperative complications was 5.13％. One day after surgery,three days,seven days pain score-(4.34±1.08) points,(2.56±0.63) points,(1.21±0.73)point,better than control group (P<0.05). Conclusion In the treatment of inguinal hernia,TEP has better results compared to Lichtenstein repair surgery.%目的 比较Lichtenstein疝修补术及腹腔镜全腹膜外疝修补术(TEP)治疗腹股沟疝的疗效.方法 2014年3月至2016年11月腹股沟疝患者78例,按照完全随机原则,分为2组,各39例.对照组采取Lichtenstein疝修补术,观察组实施TEP.观察两组手术情况、术后疼痛及并发症情况.结果 观察组住院时间(5.03±1.21)d、下床活动时间(12.68±2.04)h、术后并发症发生概率5.13％,术后1d、3d、7d疼痛评分(4.34±1.08)分、(2.56±0.63)分、(1.21±0.73)分,比对照组明显更优(P<0.05).结论 在腹股沟疝治疗方面,TEP相比Lichtenstein疝修补术效果更佳.