CAJ | 학술논문

目的探讨Kugel补片开放式腹膜前修补腹股沟复发疝的临床疗效.方法回顾性分析2005年1月～2009年6月福建医科大学附属协和医院应用Kugel补片开放式腹膜前置入治疗65例77侧腹股沟复发疝的临床资料.结果单侧手术时间40～150 min,平均(76.5±20.4)min.术后切口疼痛轻,无切口感染.并发尿潴留4例、腹股沟区浆液肿6例、皮下血肿2例、阴囊积液3例,随访3～54个月,未发现明显异物感或腹股沟区慢性疼痛,无再复发疝.结论开放式腹膜前放置Kugel补片治疗成人腹股沟复发疝具是合理性和可行性.
목적 탐토Kugel보편개방식복막전수보복고구복발산적림상료효.방법 회고성분석2005년1월～2009년6월복건의과대학부속협화의원응용Kugel보편개방식복막전치입치료65례77측복고구복발산적림상자료.결과 단측수술시간40～150 min,평균(76.5±20.4)min.술후절구동통경,무절구감염.병발뇨저류4례、복고구구장액종6례、피하혈종2례、음낭적액3례,수방3～54개월,미발현명현이물감혹복고구구만성동통,무재복발산.결론 개방식복막전방치Kugel보편치료성인복고구복발산구시합이성화가행성.
Objective To evaluate clinical application of Kngel patch in treating recurrent inguinal her-nia. Methods The clinical data of 65 patients with 77 sides recurrent inguinal hernia performed open preperitoneal inguinal hernia repairs from January 2005 to June 2009 were analyzed retrospectively. Kugel hernia patches were used in the operations. Results The operating time for unilateral hernia expended 40 ～ 150(76.5±20. 4) min. Postoperative pain was minimal and no incision infection appeared. The postopera-tive complications were 4 cases of uroschesis,6 cases of inguinoscrotal seroma, 2 cases of inguinoscrotal he-matoma and 3 cases of serotal hydrops. No serious complications such as sensation of foreign body, inguinal chronic pain and recurrence were observed during the follow-up of 3 to 54 months. Conclusions Open preperitoneal hernia repair with Kngel patch for adult recurrent inguinal hernia reparation is rational and fea-sible.