CAJ | 학술논문

目的：比较完全腹膜外疝修补术（TEP）与李金斯坦修补术（Lichtenstein）治疗成人腹股沟疝的临床效果。方法回顾性分析2012年1月至2013年10月，华润武钢总医院收治成人腹股沟疝220例手术治疗的临床资料，其中102例行TEP（观察组），118例行开放式Lichtenstein修补术（对照组），对比二组手术时间，术后住院时间，并发症发生率，术后疼痛评分，住院费用及复发情况。结果观察组较对照组住院时间明显缩短（t＝7．622，P＝0．005），术后疼痛症状极轻，但住院费用相对较高，二组术后并发症无统计学差异（χ2＝1．529，P＝0．144）；术后随访6～18个月，对照组未出现复发，观察组复发1例。结论 TEP修补术治疗腹股沟疝具有手术时间短、住院时间短，且安全性高，复发率低，值得临床推广。
목적：비교완전복막외산수보술（TEP）여리금사탄수보술（Lichtenstein）치료성인복고구산적림상효과。방법회고성분석2012년1월지2013년10월，화윤무강총의원수치성인복고구산220례수술치료적림상자료，기중102례행TEP（관찰조），118례행개방식Lichtenstein수보술（대조조），대비이조수술시간，술후주원시간，병발증발생솔，술후동통평분，주원비용급복발정황。결과관찰조교대조조주원시간명현축단（t＝7．622，P＝0．005），술후동통증상겁경，단주원비용상대교고，이조술후병발증무통계학차이（χ2＝1．529，P＝0．144）；술후수방6～18개월，대조조미출현복발，관찰조복발1례。결론 TEP수보술치료복고구산구유수술시간단、주원시간단，차안전성고，복발솔저，치득림상추엄。
Objective To summarize experience of adult inguinal hernia repair,and to compare the clinical effect of total extraperitoneal laparoscopic repair (TEP ) and Lichtenstein repair.Methods A retrospective analysis was conducted on 220 cases of adult inguinal hernia,from January 201 2 to October 201 3,1 1 8 of whom underwent Lichtenstein repair (as control group ), and 1 02 underwent total extraperitoneal laparoscopic repair (as observation group).The operating time,length of postoperative stay, complications rate,pain score,costs and recurrence were compared between the two groups.Results Laparoscopic group significantly shortened the length of hospital stay and had light postoperative pain,when compared with the control group (t =7.622,P=0.005 ),but the hospital costs were relatively higher. Postoperative complications of the two groups had no statistical difference (χ2 =1 .529,P =0.1 44 ). Postoperative follow-up at 6 to 1 8 months revealed one case of recurrence in observation group and none in control group.Conclusion In this comparative study,TEP has proven to be a safe and effective procedure to reduce operating time,length of stay and recurrence,and is worthy to be popularized in clinic.