【摘要】目的：观察和对比腹腔镜下全腹膜外疝修补术(TEP，totally extraperitoneal herniorrhaphy)与传统疝修补术的临床疗效。方法：选择2017年9月至2018年9月我科收治的96例一型和二型腹股沟疝患者作为研究对象，随机分为两组：TEP组和传统手术组，TEP组44例，传统手术组52例。对比观察两组患者术中出血量，手术时间，镇痛剂使用比例，住院天数以及并发症的发生情况等指标。结果：TEP组术中出血量、镇痛剂使用比例、住院天数以及并发症的发生情况明显优于传统手术组，对比差异有显著统计学意义(P<0.01);TAPP组手术时间、住院费用明显高于传统手术组，差异有显著统计学意义(P<0.01)，两组至今均未出现复发。结论：TEP的学习曲线较长，但腹腔镜下全腹膜外疝修补术的临床疗效明显优于传统手术组，可作为轻度腹股沟疝的常规术式。

    【关键词】腹股沟疝;腹腔镜下全腹膜外修补术;传统手术

    [Abstract]Objective：To observe and comparison the clinical efficacy of laparoscopic totally extraperitoneal herniorrhaphy and traditional herniorrhaphy.Methods：96 cases of type 1 and type 2 inguinal hernia treated in our department from September 2017 to September 2018 were selected as research subjects and were randomly divided into two groups： TEP group and traditional operation group ......