【摘要】 目的:探讨腹腔镜全腹膜外疝修补术(totally extraperitoneal,TEP)治疗男性双侧腹股沟斜疝的临床疗效。方法:回顾分析2010年1月至2012年6月收治的162例双侧腹股沟斜疝男性患者的临床资料,分别行TEP(腔镜组)与Lichtenstein无张力疝修补术(开放组)。对比两组患者手术时间、住院时间、恢复正常活动时间、术后并发症等。结果:与开放组相比,腔镜组患者年龄、BMI、术前ASA分级、疝分型及随访时间差异均无统计学意义(P>0.05),但手术时间较长[(54.0±6.4)min vs.(45.0±4.2)min,P<0.001],术后恢复正常活动时间显著缩短[(10.0±1.6)d vs.(12.2±2.0)d,P=0.001],并发症发生率显著降低(7.1%vs.18.9%,P=0.046),术后住院时间两组差异无统计学意义[(4.4±1.3)d vs.(4.9±1.5)d,P=0.311]。结论:与开放手术相比,TEP治疗男性双侧腹股沟斜疝具有术后康复快、并发症发生率低的优点,值得推广。更多还原

【Abstract】 Objective:To investigate the clinical efficacy of laparoscopic totally extraperitoneal(TEP) hernia repair in treatment of male bilateral indirect inguinal hernia. Methods:Retrospective analysis was made on the clinical data of 162 male patients with bilateral indirect inguinal hernia treated in our hospital from Jan. 2010 to Jun. 2012. Laparoscopic group were treated with TEP hernia repair,open group underwent Lichtenstein tension-free hernia repair. Operation time,postoperative hospital stay,return to normal activity time,complications were compared between the two groups. Results: Compared with the open group,the age,BMI,preoperative ASA classification,hernia type and the follow-up duration of the laparoscopic group were not significantly different( P > 0. 05),the operation time was significantly longer [(54. 0 ± 6. 4) min vs.(45. 0 ± 4. 2) min,P < 0. 001],postoperative recovery time was significantly shorter [(10. 0 ± 1. 6) d vs.( 12. 2 ± 2. 0) d,P = 0. 001 ],postoperative complication rate of laparoscopic group was significantly lower(7. 1% vs. 18. 9%,P = 0. 046),and postoperative hospital stay was not significantly different [(4. 4 ± 1. 3) d vs.(4. 9 ± 1. 5) d,P =0. 311]. Conclusions:TEP is better than open operation in faster postoperative recovery and less complication rate in the treatment of male bilateral indirect inguinal hernia,worthy of promotion.更多还原