CAJ | 학술논문

目的：探讨腹腔镜经腹腹膜前补片植入术(TAPP)与开放式无张力腹股沟疝修补术治疗腹股沟疝的疗效比较。方法将120例患者随机分成实验组及对照组，分别行TAPP术及开放式无张力修补术，比较两者在手术时间、术后疼痛、恢复日常活动时间、平均住院日、平均住院费用、术后并发症及复发率等方面的差异。结果实验组在术后疼痛评分、恢复日常活动时间、平均住院时间等方面较对照组具有统计学差异，而在手术并发症及复发率方面两组不具有统计学差异。结论 TAPP在理论上可完全替代开放式无张力疝修补术，但由于费用较贵、手术操作要求较高等原因限制了其进一步推广。
목적：탐토복강경경복복막전보편식입술(TAPP)여개방식무장력복고구산수보술치료복고구산적료효비교。방법장120례환자수궤분성실험조급대조조，분별행TAPP술급개방식무장력수보술，비교량자재수술시간、술후동통、회복일상활동시간、평균주원일、평균주원비용、술후병발증급복발솔등방면적차이。결과실험조재술후동통평분、회복일상활동시간、평균주원시간등방면교대조조구유통계학차이，이재수술병발증급복발솔방면량조불구유통계학차이。결론 TAPP재이론상가완전체대개방식무장력산수보술，단유우비용교귀、수술조작요구교고등원인한제료기진일보추엄。
Objective To compare the therapeutic effect between transabdominal preperitoneal and open tension-free hernioplasty to treat inguinal hernia. Methods 120 cases were randomly divided into experimental group and control group, TAPP and the Open tension-free hernio-plasty were performed respectively. The operation time, pain, the time to recover daily activities, average stay in hospital, average hospitalization ex-penses, operation complication and recurrence rate were compared. Results The postoperative pain score, the time to recover daily activities and average stay in hospital in experimental group were statistically better than that in the control group, but there were no statistic difference in operation complication and recurrence rate. Conclusion In theoretically, TAPP can completely replace open tension-free hernioplasty, but it has difficulty to generalize for the expensive hospitalization expenses and operation skill.