CAJ | 학술논문

目的了解普理灵三合一疝修补装置(PHS)在老年腹股沟疝患者修补术中的应用特点、围手术期管理及效果.方法对应用PHS进行无张力修补术的69例老年腹股沟疝患者进行回顾性分析.结果手术时间45～160 min,术后使用止痛剂20例,伴发尿潴留12例,阴囊水肿3例,肺部感染1例,切口感染及淤血2例.68例术后2～3周后均能从事13常活动.随访时间6～77个月,死亡6例,无复发,2例偶有患侧不适感,无异物感及疼痛.结论 PHS对腹股沟区解剖结构松弛、薄弱以及缺损范围大的老年腹股沟疝患者的疝修补效果确切,手术安全易行.
목적 료해보리령삼합일산수보장치(PHS)재노년복고구산환자수보술중적응용특점、위수술기관리급효과.방법 대응용PHS진행무장력수보술적69례노년복고구산환자진행회고성분석.결과 수술시간45～160 min,술후사용지통제20례,반발뇨저류12례,음낭수종3례,폐부감염1례,절구감염급어혈2례.68례술후2～3주후균능종사13상활동.수방시간6～77개월,사망6례,무복발,2례우유환측불괄감,무이물감급동통.결론 PHS대복고구구해부결구송이、박약이급결손범위대적노년복고구산환자적산수보효과학절,수술안전역행.
Objective To explore applied characteristics of the prolene hernia system(PHS) in inguinal hernioplasty, and management during and after operation, and long-term effect of this kind of hemioplasty in aged patients. Methods 69 aged patients using PHS were followed and analyzed retrospectively. Results Tension-free inguinal hernioplasty with the PHS were performed in 69 aged patients of groin hernia. Operative time ranged from 45min to 160min. Post-operatively, 3 patients developed gentle scrotal swelling, and 20 patients had been adminis- tered anodyne for pain of incision, and 12 cases experienced retention of urine, 1 case developed pneumonia, and 2 cases oeeurred incisional infection and gore. 68 cases of them recovered daily life about 2 to 3 weeks after operation. During follow-up period from 6 months to 77 months,there was no recurrence of inguinal hernia and no pain in in-guinal region, but 2 patients feel discomfort sporadically. Conclusion The PHS strengthens the myopectineal orifice and seals up-area of it,so the system is especially preferred in treating aged patients of groin hernias who have some defectsof anatomic structure in inguinal region. The local anaesthesia is also suitable for this kind of hernioplasty in aged patients.