中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
22期
59-61
,共3页
TEP%Lichtenstein%腹股沟疝
TEP%Lichtenstein%腹股溝疝
TEP%Lichtenstein%복고구산
TEP%Lichtenstein%Inguinal hernia
目的：比较TEP与Lichtenstein两种术式治疗成人腹股沟疝的临床效果。方法随机选取2010年6月-2014年6月期间该院收治的100例成年腹股沟疝患者，随机分为TEP组与Lichtenstein组各50例，TEP组采用TEP术式进行手术，Licht-enstein组采用Lichtenstein术式进行手术，比较疗效。结果TEP组手术时间长于、住院费用高与Lichtenstein组(P<0.01)，术中出血量少于、术后下床活动时间与住院时间短于Lichtenstein组(P<0.01)；术后8 h、12 h、24 h时疼痛(VAS评分)程度TEP组低于Lichtenstein组(P<0.01)；TEP组术后并发症发生率6.00%，Lichtenstein组为0.00%，两组术后半年内均无疝复发，并发症发生及疝复发率比较差异无统计学意义(P>0.05)。结论TEP与Lichtenstein术后比较有术中出血量少、术后下床活动早及住院时间短、术后疼痛程度轻的优势，但是相对患者经济支出较高。
目的：比較TEP與Lichtenstein兩種術式治療成人腹股溝疝的臨床效果。方法隨機選取2010年6月-2014年6月期間該院收治的100例成年腹股溝疝患者，隨機分為TEP組與Lichtenstein組各50例，TEP組採用TEP術式進行手術，Licht-enstein組採用Lichtenstein術式進行手術，比較療效。結果TEP組手術時間長于、住院費用高與Lichtenstein組(P<0.01)，術中齣血量少于、術後下床活動時間與住院時間短于Lichtenstein組(P<0.01)；術後8 h、12 h、24 h時疼痛(VAS評分)程度TEP組低于Lichtenstein組(P<0.01)；TEP組術後併髮癥髮生率6.00%，Lichtenstein組為0.00%，兩組術後半年內均無疝複髮，併髮癥髮生及疝複髮率比較差異無統計學意義(P>0.05)。結論TEP與Lichtenstein術後比較有術中齣血量少、術後下床活動早及住院時間短、術後疼痛程度輕的優勢，但是相對患者經濟支齣較高。
목적：비교TEP여Lichtenstein량충술식치료성인복고구산적림상효과。방법수궤선취2010년6월-2014년6월기간해원수치적100례성년복고구산환자，수궤분위TEP조여Lichtenstein조각50례，TEP조채용TEP술식진행수술，Licht-enstein조채용Lichtenstein술식진행수술，비교료효。결과TEP조수술시간장우、주원비용고여Lichtenstein조(P<0.01)，술중출혈량소우、술후하상활동시간여주원시간단우Lichtenstein조(P<0.01)；술후8 h、12 h、24 h시동통(VAS평분)정도TEP조저우Lichtenstein조(P<0.01)；TEP조술후병발증발생솔6.00%，Lichtenstein조위0.00%，량조술후반년내균무산복발，병발증발생급산복발솔비교차이무통계학의의(P>0.05)。결론TEP여Lichtenstein술후비교유술중출혈량소、술후하상활동조급주원시간단、술후동통정도경적우세，단시상대환자경제지출교고。
Objective To compare the clinical effect between TEP and Lichtenstein in treatment of inguinal hernia in adults. Methods 100 adults with inguinal hernia admitted in our hospital during June 2010 and June 2014 were randomly divided into TEP group (n=50) and Lichtenstein group (n=50). TEP (totally extraperitoneal prosthesis) and Lichtenstein (Lichtenstein tension-free hernioplasty) were performed in the two groups respectively. The treatment effects were compared between the two groups. Results The operation during and hospitalization expenses were more;the intraoperative blood loss, postoperative activity time and hospitalization time less; the VAS score 8h, 12h, 24h after operation lower, in the TEP group than in the Lichtenstein group, and all the differences above were statistically significant (P<0.01). The complications rates of the two groups were 6.00%and 0.00%, and no hernia relapse was found in both two groups within half year after operation, and there were no statistically significant dif-ferences between the two groups (P>0.05). Conclusion Compared with Lichtenstein, TEP has advantages of less intraoperative blood loss and postoperative pain, earlier postoperative ambulation, shorter hospitalization time, and disadvantage of higher costs.
