CAJ | 학술논문

目的：探讨白线疝的诊断和治疗方法。方法分析12例白线疝的临床资料,手术治疗白线疝12例,对无疝囊型行突出的腹膜前脂肪组织切除术,对有疝囊型切开疝囊后还纳疝内容物,结扎疝囊颈,切除疝囊。然后根据白线缺损大小分别采用单纯横行对合缝合、Onlay无张力补片修补术修补白线缺损。结果12例手术均获成功,2例术后合并肾功能不全、感染,予以血透、抗感染治疗后均康复出院,无复发。结论白线疝症状、体征无特异性,但可发生嵌顿、绞窄而危及生命,临床上应引起重视。对于有症状的、较大的、难复、嵌顿或绞窄性白线疝均应及时行手术治疗。
목적：탐토백선산적진단화치료방법。방법분석12례백선산적림상자료,수술치료백선산12례,대무산낭형행돌출적복막전지방조직절제술,대유산낭형절개산낭후환납산내용물,결찰산낭경,절제산낭。연후근거백선결손대소분별채용단순횡행대합봉합、Onlay무장력보편수보술수보백선결손。결과12례수술균획성공,2례술후합병신공능불전、감염,여이혈투、항감염치료후균강복출원,무복발。결론백선산증상、체정무특이성,단가발생감돈、교착이위급생명,림상상응인기중시。대우유증상적、교대적、난복、감돈혹교착성백선산균응급시행수술치료。
Objective To investigate the diagnosis measures and treatment methods of white line hernia. Methods Analyze the clinical data of 12 cases of white line hernia who were treated by surgery. We performed peritoneal adipose tissue before resection on hernia without hernial sac type. And for those with hernial sac type, apothesis of material in hernia were firstly made, then ligated the hernia sac neck and resection were made. Then according to the white line defect size, we used pure involution suture and Onlay without tension patch repair to repair defect in the white line. Results Surgery of all the 12 cases were successful. 2 cases of them merged postoperative renal dysfunction and infection, and after hemodialysis and anti-infection treatment, they both recoverd well without recurrence. Conclusion There is no spe-cific symptoms and signs in white line hernia, but incarceration and strangulation may cause life threaten, so we should pay more attention to it. For symptomatic, large, difficult, incarcerated or strangulated white line hernia,we should take timely surgical treatment.