中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2015年
3期
211-213
,共3页
疝,腹股沟%疝修补术%腹腔镜
疝,腹股溝%疝脩補術%腹腔鏡
산,복고구%산수보술%복강경
Hernia,inguinal%Herniorrhaphy%Laparoscopy
目的：对比完全腹膜外疝修补术(TEP)与李金斯坦(Lichtenstein)疝修补术治疗腹股沟疝的临床疗效。方法回顾性分析2012年6月至2014年6月,厦门市第五医院181例成人原发单侧腹股沟疝患者行 TEP 与 Lichtenstein 疝修补术术式的临床资料,对比观察二组患者平均住院时间、住院费用、术后并发症及复发率。结果 TEP 组 Lichtenstein 组住院时间分别为(7.5±2.2)、(9.3±3.4) d,差异有统计学意义(t=4.084,P=0.000)。 TEP 组与 Lichtenstein 组住院费用分别为(8601±1726)、(6922±2014)元,差异有统计学意义(t =5.872,P =0.000)。 TEP 组与 Lichtenstein 组术后近、远期并发症发生率分别为(3.94% vs 3.81%,χ2=0.002,P=0.962)、(0% vs 0.95%,χ2=0.728, P=0.394),二组术后均无复发。结论 TEP 与 Lichtenstein 术式均可较安全有效的应用于原发腹股沟疝的治疗,但同样条件下优先选择 TEP 术式。
目的：對比完全腹膜外疝脩補術(TEP)與李金斯坦(Lichtenstein)疝脩補術治療腹股溝疝的臨床療效。方法迴顧性分析2012年6月至2014年6月,廈門市第五醫院181例成人原髮單側腹股溝疝患者行 TEP 與 Lichtenstein 疝脩補術術式的臨床資料,對比觀察二組患者平均住院時間、住院費用、術後併髮癥及複髮率。結果 TEP 組 Lichtenstein 組住院時間分彆為(7.5±2.2)、(9.3±3.4) d,差異有統計學意義(t=4.084,P=0.000)。 TEP 組與 Lichtenstein 組住院費用分彆為(8601±1726)、(6922±2014)元,差異有統計學意義(t =5.872,P =0.000)。 TEP 組與 Lichtenstein 組術後近、遠期併髮癥髮生率分彆為(3.94% vs 3.81%,χ2=0.002,P=0.962)、(0% vs 0.95%,χ2=0.728, P=0.394),二組術後均無複髮。結論 TEP 與 Lichtenstein 術式均可較安全有效的應用于原髮腹股溝疝的治療,但同樣條件下優先選擇 TEP 術式。
목적：대비완전복막외산수보술(TEP)여리금사탄(Lichtenstein)산수보술치료복고구산적림상료효。방법회고성분석2012년6월지2014년6월,하문시제오의원181례성인원발단측복고구산환자행 TEP 여 Lichtenstein 산수보술술식적림상자료,대비관찰이조환자평균주원시간、주원비용、술후병발증급복발솔。결과 TEP 조 Lichtenstein 조주원시간분별위(7.5±2.2)、(9.3±3.4) d,차이유통계학의의(t=4.084,P=0.000)。 TEP 조여 Lichtenstein 조주원비용분별위(8601±1726)、(6922±2014)원,차이유통계학의의(t =5.872,P =0.000)。 TEP 조여 Lichtenstein 조술후근、원기병발증발생솔분별위(3.94% vs 3.81%,χ2=0.002,P=0.962)、(0% vs 0.95%,χ2=0.728, P=0.394),이조술후균무복발。결론 TEP 여 Lichtenstein 술식균가교안전유효적응용우원발복고구산적치료,단동양조건하우선선택 TEP 술식。
Objective To compare the clinical efficacy of laparoscopic totally extraperitoneal repair (TEP) and Lichtenstein repair for inguinal hernia. Methods The 181 inguinal hernia patient′s clinical data with TEP and Lichtenstein repair were retrospectively analyzed, from June 2012 to June 2014, in the Fifth Hospital of Xiamen City. Average length of hospital stay, cost of hospitalization, incidence of postoperative complications and recurrence were analyzed. Results The average length of hospital stay of patients with TEP group was less than Lichtenstein group (P<0. 05), the cost of hospitalization of patients with TEP group was slightly higher than Lichtenstein group (P< 0. 05), and there were no difference with the incidence of postoperative complications and recurrence rate (P> 0. 05). Conclusion Both TEP and Lichtenstein repair can achieve good effect, and TEP should be preferred in the same condition.
