摘要
目的:对比经腹腔腹膜前疝修补术(TAPP)与完全腹膜外疝修补术(TEP)治疗成人腹股沟疝的效果及对预后恢复的影响。方法:选取2018年3月至2021年5月期间本院收治的80例腹股沟疝成人患者为研究对象,按照随机数表法将其分为TAPP组(n=38)和TEP组(n=42),分别给予TAPP、TEP治疗。对比两组患者术中及术后情况(手术时间、术中出血量、术后住院时间、恢复正常活动时间、疼痛程度),以及精索血管情况,统计术后并发症发生率。结果:TEP组手术时间、术后住院时间、恢复正常活动时间短于TAPP组,术中出血量少于TAPP组(P<0.05);两组患者疼痛视觉模拟法(VAS)评分呈下降趋势,且差异具有统计学意义(P<0.05),但各时间点VAS评分比较无明显差异(P>0.05);术前,两组患者精索静脉管径及精索静脉血流速度比较无明显差异(P>0.05),术后4周,两组患者精索静脉管径均增大,静脉血流速度均减小,但TEP组上述指标优于TAPP组(P<0.05);TAPP组并发症发生率(7.89%)略低于TEP组(9.52%),差异无统计学意义(t=0.066,P=0.797)。结论:TAPP、TEP治疗成人腹股沟疝安全性均良好,但TEP术后恢复更快,且对精索静脉的影响较小。
Objective:To compare the effects of transabdominal preperitoneal(TAPP)repair and totally extraperitoneal prosthesis(TEP)in the treatment of adult inguinal hernia,and their influence on recovery.Methods:A total of 80 adult patients with inguinal hernia admitted to the hospital from March 2018 to May 2021 were selected as the research subjects.They were divided into TAPP group(n=38)and TEP group(n=42)according to the random number table method,receiving TAPP and TEP,respectively.The intraoperative and postoperative conditions(operation time,intraoperative blood loss,postoperative hospital stay,activity recovery time,pain degree),as well as the condition of spermatic vessels were compared between the two groups.The incidence of postoperative complications was calculated.Results:The operation time,postoperative hospital stay,activity recovery time and intraoperative blood loss of TEP group were shorter/less than those of TAPP group(P<0.05).The Visual Analogue Scale(VAS)scores of the two groups were reduced after treatment(P<0.05),but there was no significant difference in the VAS score at each time point(P>0.05).There was no significant difference in the diameter and blood flow velocity of spermatic vein between the two groups before operation(P>0.05).4 weeks after operation,the diameter of spermatic vein was increased,and the blood flow velocity of spermatic vein was reduced in the two groups.The two indicators in TEP group were better than those in TAPP group(P<0.05).The incidence of complications in TAPP group(7.89%)was slightly lower than that in TEP group(9.52%)(t=0.066,P=0.797).Conclusion:Both TAPP and TEP are safe in the treatment of adult inguinal hernia,but patients recover quickly after TEP.The latter causes less impact on the spermatic vein.
作者
唐建坡
李岩
张洪铭
冯美丽
张莉
TANG Jian-po;LI Yan;ZHANG Hong-ming;FENG Mei-li;ZHANG Li(The First Department of General Surgery,Hernia and Abdominal Wall Surgery,Zhangjiakou First Hospital,Zhangjiakou,Hebei,075000,China;The First Department of Geriatrics,Zhangjiakou First Hospital,Zhangjiakou,Hebei,075000,China;Operating room,Zhangjiakou First Hospital,Zhangjiakou,Hebei,075000,China)
出处
《现代生物医学进展》
CAS
2022年第18期3587-3590,共4页
Progress in Modern Biomedicine
基金
张家口市科学技术研究与发展计划项目(1621054D)。
