CAJ | 학술논문

目的探讨腹腔镜成人腹股沟疝修补的新术式.方法将156例患者按手术方式分为腹腔内补片覆盖组(IPOM)及花式补片组.后者采用聚炳烯补片,自制成花瓣状行疝囊内植入双荷包缝扎固定关闭内环口.术后对患者进行随访,比较两组患者的相关参数.结果花式补片组无1例疝气复发,在手术时间、住院天数、住院费用方面均少于IPOM组(P＜0.05),并发症发生率低于IPOM组(P＜0.05).结论腹腔镜花式补片植入,双荷包缝扎方法是治疗成人腹股沟疝的一种新方法,具有操作简单、并发症少、恢复快、费用低的优点.
목적 탐토복강경성인복고구산수보적신술식.방법 장156례환자안수술방식분위복강내보편복개조(IPOM)급화식보편조.후자채용취병희보편,자제성화판상행산낭내식입쌍하포봉찰고정관폐내배구.술후대환자진행수방,비교량조환자적상관삼수.결과 화식보편조무1례산기복발,재수술시간、주원천수、주원비용방면균소우IPOM조(P＜0.05),병발증발생솔저우IPOM조(P＜0.05).결론 복강경화식보편식입,쌍하포봉찰방법시치료성인복고구산적일충신방법,구유조작간단、병발증소、회복쾌、비용저적우점.
Objective To explore the new method for laparoscopic adult inguinal herniorrhaphy. Methods 156 patients with groin hernia were divided into intraperitoneal onlay mesh group(IPOM)or implanting flowery patch group. A polypropylene patch like flower was made and it was implanted into inner hernia. Then preperitoneal doubly purse string suture was made to fix the flowery patch and the inner hernia was closed. We followed up the patients postoperatively and compared the correlative parameters. Results No recurrence happened in the implanting flowery patch group. There was a significantly difference in operative time, postoperative hospitalization and total cost of hospitalization between the two groups(P＜0.05). The recurrence rate in the implanting flowery patch group was lower than that in group(P＜0.05). Conclusions Implanting flowery patch and preperitoneal doubly purse string suture are new operation method for laparoscopic adult inguinal herniorrhaphy, It has advantages of simplicity, quicker recovery and less recurrence.