CAJ | 학술논문

目的对比用巴德网塞和补片行无张力疝修补术与传统疝修补术治疗老年腹外疝的临床效果.方法选择2008年1月至2010年1月我院收治的120例老年腹外疝患者,随机分为对照组和观察组各60例,对照组采用传统疝修补术治疗,观察组采用无张力疝修补术治疗,把两组的临床资料进行分析比较,以手术时间、下床时间、伤口疼痛程度、局部不适、并发症及有无复发等为比较对象.结果无张力疝修补术治疗的患者手术效果明显优于传统疝修补术的患者,并发症少,随访2年无复发病例.结论无张力疝修补术具有手术时间短,成本低,术后患者痛苦小、恢复快、并发症少、无复发等优点,值得临床推广应用.
목적 대비용파덕망새화보편행무장력산수보술여전통산수보술치료노년복외산적림상효과.방법 선택2008년1월지2010년1월아원수치적120례노년복외산환자,수궤분위대조조화관찰조각60례,대조조채용전통산수보술치료,관찰조채용무장력산수보술치료,파량조적림상자료진행분석비교,이수술시간、하상시간、상구동통정도、국부불괄、병발증급유무복발등위비교대상.결과 무장력산수보술치료적환자수술효과명현우우전통산수보술적환자,병발증소,수방2년무복발병례.결론 무장력산수보술구유수술시간단,성본저,술후환자통고소、회복쾌、병발증소、무복발등우점,치득림상추엄응용.
Objective To compare the clinical efficacy of tension-free hernia repair with Bard mesh plug and patch with that of traditional hernia repair for external abdominal hernias in elderly hernia.Methods 120 elderly patients with external abdominal hernia who had been hospitalized from January 2008 to January 2010 were randomly divided into a control group (60 patients) and a study group (60 patients).The control group received traditional hernia repair; while the study group received tension-free hernia repair.Surgical duration,time to ambulation,degree of wound pain,local discomforts,complications,and recurrence were compared.Results The study group was superior to the contro group in the efficacy.The patients who underwent tension-free hernia repair had fewer complications and had no recurrence in a 2-year follow-up.Conclusions The patients undergoing tension-free hernia repair have shorter surgical duration,less medical cost,less postoperative pain,faster recovery,fewer complications,and no recurrence.This procedure is worth popularizing clinically.