腹腔镜完全腹膜外疝修补术和改良Kugel手术治疗成人腹股沟疝的效果研究

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Abstract Objective To compare and study the curative effects of laparoscopic totally extraperitaneal prosthetic （TEP）and modified Kugel surgery in the treatment of adult inguinal hernia.Methods Clinical data of 148 adult patients with inguinal hernia who were admitted to the department of general surgery in our hospital from June 2012 to June 2014 were retrospectively analyzed.All the patients were randomly divided into two groups，with 72 patients in TEP group and 76 patients in the modified Kugel group.Costs of hospitalization，surgery time，postoperative length of stay，lasting time of postoperative incision pain and postoperative complications were compared between the two groups of patients.After 12～24 months of follow-up visit，postoperative relapses were observed.Results The surgeries in the two groups were both successful.The cost of hospitalization in the TEP group was（8564.5±609.5）yuan，and the cost in the modified Kugel group was（6708.5±854.4）yuan.The cost of hospitalization in the TEP group was higher，and the difference was statistically significant（P＜0.01）；in the comparison of postoperative length of stay and lasting time of postoperative incision pain between the two groups，TEP groups were both shorter，and the differences were statistically significant（P＜0.01）.The differences of the comparison of surgery time and postoperative complications such as hematoma or effusion of the scrotum，urinary retention and pain in the patch regions were not statistically significant（P＞0.05）.However，the incidence rate of seroma in the TEP group　（15.3%）was significantly higher than that in the modified Kugel group（2.6%），and the difference was statistically significant（P＜0.01）.There was no relapse in both the two groups after the surgery.Conclusion The total cost of hospitalization in the TEP group is higher than that in the modified Kugel group，but patients receiving TEP have the advantages of fast postoperative recovery，early discharge time，short lasting time of postoperative incision pain.Therefore，TEP is a safe and feasible method.

Key words： Inguinal hernia Laparoscope TEP Modified Kugel

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	HU An-ran
	HUANG Ke-chu
	WANG Yong-zhong
	XU Shu-kai

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HU An-ran,HUANG Ke-chu,WANG Yong-zhong, et al. Comparison of the effects of laparoscopic totally extraperitaneal prosthetic and modified Kugel surgery in the treatment of adult inguinal hernia[J]. 中国当代医药, 2016, 23(10): 21-23转26.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I10/21

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