【摘要】 目的:探讨腹腔镜腹膜前疝修补法(TAPP)治疗腹股沟疝的临床应用价值。方法:总结37例TAPP的手术经验,与传统无张力疝修补术比较2种术式的各项临床指标包括手术时间、术后疼痛持续时间、术后并发症发生率、住院时间、以及复发率等。结果:2组患者均顺利完成手术,手术时间TAPP组68±20.6min,较对照组(45±14.2min)延长;术后住院时间TAPP组l～2天,短于对照组(3～5天);TAPP组出现1例阴囊肿胀,对照组6例;腹股沟区疼痛时间TAPP组短于对照组(19±9.6hVS42±15.3h);术后复发TAPP组1例,对照组2例。结论:腹腔镜下疝修补术是一种安全的腹外疝修补方式,具有术后疼痛轻、并发症少、疤痕小、复发率低等优点,值得临床推广。更多还原

【Abstract】 [Objective] To valuate the clinical application of laparoscopy assisted transabdominal preperitoneal prosthetic(TAPP) for inguinal hernia.[Method] 37 cases of inguinal hernia undergone TAPP was reviewed and compared with the control group undergone traditional tension free hernia repair.Operation time,postoperative pain time,complications,hospital time and recurrence rate were analyzed and compared.[Result] All the cases underwent the operations successfully.The operation time of TAPP was longer than the control group(68 vs 45 min).The postoperative time of TAPP was shorter than the control group(1~2d vs 3~5d).There were 6 and 1 cases of scrotal swelling in the control group and TAPP group respectively.The postoperative pain time of control group was longer than TAPP group(42 VS 19h).There were 1 and 2 cases of recurrence in the TAPP and control group respectively.[Conclusion] TAPP is suitable and safe for inguinal hernia repair and patients can benefit from its less pain,fewer complications,small scar and low recurrence.更多还原