腹腔镜下经腹膜前腹股沟疝修补术在密云地区患者中的应用研究

Application of Laparoscopic Transperitoneal Inguinal Hernia Repair in Miyun Area

摘要: 目的：比较腹腔镜经腹腹膜前疝修补术(TAPP)与开放式无张力修补术(Lichtenstein术)治疗成人腹股沟疝的临床治疗效果。方法：回顾性分析2023-01-01~2023-12-30北京市密云区医院行疝修补术的62例成人腹股沟疝患者的临床资料，其中31例行Lichtenstein术(对照组)，31例行TAPP(观察组)。对比两组患者的住院费用、术中出血量、住院时间，随访患者手术满意度、恢复劳动时间、术后疼痛程度、疼痛持续时间及并发症发生率。结果：观察组住院费用高于对照组(P < 0.05)；观察组患者满意度、术中出血量、恢复劳动时间、住院时间、术后疼痛程度及持续时间均优于对照组(P < 0.05)；观察组与对照组并发症发生率差异无统计学意义(P > 0.05)。结论：采用不同的疝修补术对腹股沟疝患者均有良好效果，其中TAPP术在满意度、住院时间、恢复劳动时间、术后疼痛方面更优，但治疗费用较高。临床可根据患者意愿和经济条件，合理选择术式。

Abstract: Objective: To compare the clinical effect of laparoscopic transabdominal preperitoneal hernia repair (TAPP) and open tension-free repair (Lichtenstein) in the treatment of adult inguinal hernia. Methods: The clinical data of 62 adults with inguinal hernia who underwent hernia repair in Miyun District Hospital from 2023-01-01 to 2023-12-30 were retrospectively analyzed. 31 of them underwent Lichtenstein surgery (control group) and 31 underwent TAPP (observation group). The hospitalization cost, intraoperative blood loss and hospital stay of the two groups were compared. The postoperative satisfaction, recovery time, postoperative pain degree, pain duration and complication rate of the patients were followed up. Results: The hospitalization cost of observation group was higher than that of control group (P < 0.05). The satisfaction of patients in observation group, intraoperative blood loss, recovery time, hospital stay, postoperative pain degree and duration were better than those in control group (P < 0.05). There was no significant difference in the incidence of complications between observation group and control group (P > 0.05). Conclusions: Different hernia repair procedures have good effects on patients with inguinal hernia, among which TAPP is better in satisfaction, hospital stay, recovery time and postoperative pain, but the treatment cost is higher. The operation can be reasonably selected according to the patient’s wish and economic conditions.