A Clinical Analysis of 6 5 Cases of Totally Extraperitoneal Laparoscopic Prosthesis of Inguinal Hernia

目的：：探究针对腹股沟疝的治疗中应用完全腹膜外腹腔镜腹股沟疝修补术(TEP)的临床效果。方法：自2013年12月~2014年12月期间,选取在某院接受腹腔镜下的TEP临床治疗的腹股沟疝患者共65例(79侧)作为此次的研究对象(观察组),选择往年的54例共58侧开放式完全腹膜外腹股沟疝修补术完全手术作为对照组。对其临床治疗的相关资料进行全面的回顾性分析。结果：全部患者在腹腔镜下TEP的手术治疗均获得圆满成功,术中并未联合其他术式进行,手术耗时共48~135min,平均耗时(88.6±11)min,平均住院时长为(4.6±1.4)d；术后不良并发症的发生率为10.13%。与对照组相比,平均耗时、平均住院时长、不良并发症均有明显差异(P<0.05)。结论：针对腹股沟疝的治疗中应用TEP方式能够获得较为理想的治疗效果,该方式安全性和可靠度较高,术后患者疼痛感受度低,能够在较短的时间内恢复健康,同其他术式相比具有较高的优势,经济性和实用性较高,值得在临床上普及和推广应用。Objective:To explore the clinical effect of laparoscopic totally extraperitoneal prosthesis on in-guinal hernia .Methods:Select 65 patients with inguinal hernia(a total of 79 sides)receiving laparoscopic TEP in some hospital during the period from December 2013 to December 2014 as the research object,select other 54 patients (a total of 58 sides),receiving open TEP as the control group,made comprehensive retro-spective analysis on the clinical data related to them.Results:The laparoscopic TEP for all the patients were successful,and there was no combination with other operations,the operation time is 48~135min,the aver-age time was (88.6±11)min,the average length of hospital stay was (4.6±1.4)d;incidence rate of postop-erative complications was 10.13%.To Compare with control group,the average duration of operation,the av-erage length of hospital stay and the incidence of adverse complications were obviously different in observa-tion group(P<0.05).Conclusion:It is effective to treat inguinal hernia through TEP,the effect would be an-ticipating and it is relatively safe and reliable,,and patients'postoperative pain is wake,and they can recover within a short period of time,it has a great advantage compared with other operation,it is relatively econo-my and practical,and is worth of clinical popularization and application .91275-127