譚永輝

【摘要】 目的 觀察開放完全腹膜外腹股溝疝修補(bǔ)術(shù)（TEP）治療成人腹股溝疝的臨床療效及復(fù)發(fā)情況。方法 90例成人腹股溝疝患者作為研究對(duì)象， 按照手術(shù)方式將患者分為研究組和對(duì)照組， 各

45例。對(duì)照組給予傳統(tǒng)無張力疝修補(bǔ)術(shù)進(jìn)行治療， 研究組給予TEP進(jìn)行治療。術(shù)后隨訪1年， 比較兩組患者術(shù)中指標(biāo)、術(shù)后近期指標(biāo)及術(shù)后遠(yuǎn)期指標(biāo)， 記錄圍手術(shù)期并發(fā)癥發(fā)生情況。結(jié)果 研究組手術(shù)時(shí)間（15.46±4.60）min、術(shù)中出血量（4.45±1.33）ml、術(shù)后自主活動(dòng)時(shí)間（14.32±1.65）h、住院時(shí)間（4.32±0.35）d

均優(yōu)于對(duì)照組的（25.49±4.54）min、（8.36±1.75）ml、（25.72±2.36）h、（6.75±0.40）d， 差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。研究組的并發(fā)癥發(fā)生率為6.67%低于對(duì)照組的26.67%， 研究組的1年復(fù)發(fā)率為0低于對(duì)照組的8.89%， 差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 開放TEP術(shù)和傳統(tǒng)無張力疝修補(bǔ)術(shù)治療成人腹股溝疝均具有療效可靠、安全性好的特點(diǎn)， 但開放TEP術(shù)能夠縮短手術(shù)時(shí)間及住院時(shí)間、降低并發(fā)癥發(fā)生率、加快術(shù)后康復(fù)、降低遠(yuǎn)期復(fù)發(fā)率。

【關(guān)鍵詞】 腹股溝疝；開放完全腹膜外腹股溝疝修補(bǔ)術(shù)；無張力疝修補(bǔ)術(shù)；療效；復(fù)發(fā)

DOI：10.14163/j.cnki.11-5547/r.2018.14.013

Analysis of clinical efficacy and recurrence of open totally extraperitoneal prosthetic for the treatment of inguinal hernia TAN Yong-hui. Department of Comprehensive Surgery， Jiangmen Xinhui District Luokeng Town Central Hospital， Jiangmen 529157， China

【Abstract】 Objective To observe the clinical efficacy and recurrence of open totally extraperitoneal prosthetic （TEP） for the treatment of inguinal hernia. Methods A total of 90 adult inguinal hernia patients as study subjects were divided by different surgical methods into research group and control group， with 45 cases in each group. The control group received traditional tension-free hernioplasty for treatment， and the research group received TEP for treatment. All patients were followed up for 1 year. The intraoperative indicators， postoperative short-term indicators and postoperative long-term indicators were compared between the two groups， and perioperative complications were recorded. Results The research group had better operation time as （15.46±

4.60） min， intraoperative bleeding volume as （4.45±1.33） ml， postoperative autonomic activity time as （14.32±1.65） h and hospitalization time as （4.32±0.35） d than （25.49±4.54） min， （8.36±1.75） ml， （25.72±

2.36） h and （6.75±0.40） d in the control group， and their difference was statistically significant （P<0.05）. The research group had lower incidence of complications as 6.67% than 26.67% in the control group， and lower 1-year recurrence rate as 0 than 8.89% in the control group. Their difference was statistically significant （P<0.05）. Conclusion Both open TEP and traditional tension-free hernioplasty have the characteristics of reliable and safe for adult inguinal hernia， but open TEP can shorten operation time， hospitalization time， reduce the incidence of complications， accelerate the postoperative recovery and reduce the long-term recurrence rate.