张华明

【摘要】 目的：探讨Lichtenstein术式与TEP术式治疗复发性腹股沟疝修补术患者的临床效果及应用价值。方法：观察组患者采用Lichtenstein术式进行治疗，对照组患者采用TEP术式进行治疗；观察术中指标、术后近期指标，在手术治疗前、术后第3天及术后1周时评估疼痛情况，记录患者并发症及复发率情况。结果：两组术中出血量比较差异无统计学意义（P>0.05）；观察组患者手术时间显著低于对照组，差异有统计学意义（P<0.05）。术前两组患者VAS评分比较差异无统计学意义（P>0.05）；术后第3天及术后1周时两组患者VAS评分均显著降低，差异均有统计学意义（P<0.05），术后第3天观察组患者VAS评分显著低于对照组，差异有统计学意义（P<0.05），术后1周两组患者VAS评分比较差异无统计学意义（P>0.05）。两组术后并发症发生率和疝复发率比较差异无统计学意义（P>0.05）。结论：采用Lichtenstein术式与tep术式治疗复发性腹股沟疝疗效相当，但前者更能促进恢复，杜绝复发。

【关键词】 Lichtenstein术式； TEP术式； 复发性腹股沟疝； 修补术

doi：10.14033/j.cnki.cfmr.2018.7.008 文献标识码 B 文章编号 1674-6805（2018）07-0018-03

【Abstract】 Objective：To investigate the clinical efficacy and application value of Lichtenstein operation and TEP operation in the treatment of recurrent inguinal hernia repair.Method：The observation and control group were treated by Lichtenstein and TEP surgical treatment.The intraoperative indicators and short-term indicators were evaluated，and the pain was assessed before and after surgery，3 days after surgery and 1 week after surgery， and the complications and recurrence rate were recorded.Result：There was no statistically significant difference of bleeding amount between the two groups（P>0.05）.The operation time was significantly lower in the observation group than in the control group，the difference was statistically significant （P<0.05）. There was no significant difference in VAS score between the two groups before the operation（P>0.05）.The VAS scores were significantly reduced in both groups after 3 days and 1 week after surgery，the differences were statistically significant（P<0.05），there was no significant difference in VAS score between the two groups in 1 week after surgery（P>0.05）.The incidence of postoperative complications and hernia recurrence rate were not statistically significant between the two groups（P>0.05）.Conclusion：Lichtenstein and TEP are effective，but the former is more likely to promote recovery and prevent recurrence.

【Key words】 Lichtenstein operation； TEP operation； Recurrent inguinal hernia； Repair

First-authors address：Jingmen City Dongbao District Qiaolou Town Health Center，Jingmen 448000，China

腹股溝疝是临床中较为常见的外科性疾病，手术是治疗腹股沟疝的主要方法[1]。无张力修补术在临床中得以广泛应用，现阶段随着医疗技术的发展，平片张力疝修补术李金斯坦（Lichtenstein）及完全腹膜外疝修补术（TEP）是临床中常用的无张力修补术式[2-3]。Lichtenstein术式及TEP术式在应用时有各自的优点及缺点，对初发性腹股沟疝患者进行治疗时均有较高的临床应用价值[4]。本文分析笔者所在医院收治的复发性腹股沟疝修补术患者，探讨Lichtenstein术式与TEP术式的临床疗效及应用价值。现报告如下。

1 资料与方法

1.1 一般资料

选取2014年1月-2015年9月笔者所在医院收治的80例复发性腹股沟疝患者作为本组研究对象，参与本组研究所有患者均对本研究知情并签署知情同意书。纳入……