CAJ | 학술논문

目的比较研究李金斯坦术、腹膜前间隙术以及双层补片修补术3种不同术式无张力修补成人腹股沟斜疝的手术效果.方法回顾性分析南京大学医学院附属鼓楼医院普通外科2008年1月-2012年1月收治的438例腹股沟疝患者,其中施行李金斯坦术154例,施行腹膜前间隙术186例,施行双层补片修补术98例,比较分析三组的临床资料.结果三组手术方法术后复发率均较低,分别为0.65％、0.54％、0,且在术后复发率上差异均无统计学意义(P＞0.05),腹膜前间隙术组在术后异物感及疼痛感上轻于其他两组,而双层补片修补术组在费用上要高于其他两组2000元左右(P＜0.05).结论腹膜前间隙术是一种安全可靠、性价比高且术后疼痛小的良好术式,可作为疝开放式无张力修补术的首选术式.
목적 비교연구리금사탄술、복막전간극술이급쌍층보편수보술3충불동술식무장력수보성인복고구사산적수술효과.방법 회고성분석남경대학의학원부속고루의원보통외과2008년1월-2012년1월수치적438례복고구산환자,기중시행리금사탄술154례,시행복막전간극술186례,시행쌍층보편수보술98례,비교분석삼조적림상자료.결과 삼조수술방법술후복발솔균교저,분별위0.65％、0.54％、0,차재술후복발솔상차이균무통계학의의(P＞0.05),복막전간극술조재술후이물감급동통감상경우기타량조,이쌍층보편수보술조재비용상요고우기타량조2000원좌우(P＜0.05).결론 복막전간극술시일충안전가고、성개비고차술후동통소적량호술식,가작위산개방식무장력수보술적수선술식.
Objective To compare the surgical outcome of Lichtenstein,open preperitoneal technique and double-laver mesh technique in tension free repair of incarcerated inguinal hernia.Methods Totally 438 cases of indirect inguinal hernia in our hospital were retrospectively analyzed from January 2008 to January 2012,io which 154 patients received Lichtenstein,186 patients received open preperitoneal technique and 98 patients received double-layer mesh technique.Results The recurrence rates of these three groups were low,0.65％,0.54％,0,respectively,and there was no significant difference in the recurrence rate between these 3 groups (P ＞0.05),but significant difference in the foreign body sensation and postoperative pain between the open preperitoneal technique group and the other two groups(P ＜ 0.05),and the cost of the double-layer mesh technique group was ahout 2000 yuan higher than the other two groups.Conclusion The open preperitoneal technique can reduce the postoperative pain and foreign body sensation after surgery with low cost,and it is a good choice for inguinal hernia repair.