CAJ | 학술논문

目的分析无张力疝修补术治疗腹股沟疝的疗效及并发症、复发率发生情况.方法回顾性分析采用无张力疝修补术治疗178例腹股沟疝的临床资料.结果全部患者均治愈出院,平均手术时间50min,平均住院时间4 d,术后2～3周均恢复日常活动和体力劳动.术后尿潴留9例,阴囊血肿、积液5例,切口脂肪液化7例,腹股沟区不同程度的疼痛麻木14例,疝复发1例.结论无张力疝修补术治疗腹股沟疝刨伤小、恢复快、操作简单、符合解剖生理、并发症少、复发率低.
목적 분석무장력산수보술치료복고구산적료효급병발증、복발솔발생정황.방법 회고성분석채용무장력산수보술치료178례복고구산적림상자료.결과 전부환자균치유출원,평균수술시간50min,평균주원시간4 d,술후2～3주균회복일상활동화체력노동.술후뇨저류9례,음낭혈종、적액5례,절구지방액화7례,복고구구불동정도적동통마목14례,산복발1례.결론 무장력산수보술치료복고구산포상소、회복쾌、조작간단、부합해부생리、병발증소、복발솔저.
Objective To study the standard operating methods and skills of Lichtenstein's tenaion-free her-nioplasty for treating groin hernia and the methods of reducing the postoperative complication and recrudescence. Methods Clinical data of treating greinhemia in 178 eases at Department of General Surgery, Luan People's Hospi-tal were reviewed and analyzed. Results On average, each operation needs 50 minutes and the patients spend 4 days in hospital. After 2～3 weeks,the patients can restore the daily activity and manual labour. There were 9 cases of uri-nary retention after operation,5 cases of scrotum haematoma's accumulating liquid,7 cases of the cut fat deliques-cing, 14 cases of various pain and numbness in groin area and 1 case of hernia recrudescence. Conclusion Lichten-stein's tension-free hemioplasty is a perfect surgical operation method which has many advantages, such as minimal trauma,rapid recovery, simple operation sequence, and less postoperative complication and recrudescence. It is in keeping with anatomy physiology.