CAJ | 학술논문

目的：总结择期无张力疝修补术治疗乙肝肝硬化、腹水的腹股沟疝的经验。方法回顾性分析2006年6月至2011年6月采用择期无张力疝修补手术治疗28例乙肝肝硬化腹水的腹股沟疝患者的资料，对其术前、术后治疗、手术时机及手术方法进行总结。结果全组患者手术成功，手术并发症包括阴囊血肿1例、切口渗血1例、腹腔渗积液渗漏1例；术后随访18～78个月，无疝复发，术区也无红、肿及不适。结论乙肝肝硬化腹水的腹股沟疝患者经严格的围手术期处理，能顺利接受疝修补术，提高患者生活质量。
목적：총결택기무장력산수보술치료을간간경화、복수적복고구산적경험。방법회고성분석2006년6월지2011년6월채용택기무장력산수보수술치료28례을간간경화복수적복고구산환자적자료，대기술전、술후치료、수술시궤급수술방법진행총결。결과전조환자수술성공，수술병발증포괄음낭혈종1례、절구삼혈1례、복강삼적액삼루1례；술후수방18～78개월，무산복발，술구야무홍、종급불괄。결론을간간경화복수적복고구산환자경엄격적위수술기처리，능순리접수산수보술，제고환자생활질량。
Objective To summarize the experience of tension-free hernioplasty for the chronic hepatitis B patients with cirrhosis and ascites. Methods From June 2006 to June 2011, 28 cirrhotic patients complicated by inguinal hernia underwent tension-free hernia repair in our hospital. The clinical data were retrospectively analyzed including the preoperative and postoperative treatment , surgical timing and surgical method. Results All operations were successfully completed and operative incisions were first intention. The operative complications included slight hematocele , wound oozing of blood, wound extravasation (from abdominal fluid) in one case, respectively. The follow-up ranged from 18 to 78 months, no infection and no recurrence were found. Conclusion For the patients with Hepatitis B complicated by cirrhosis and ascites , it is necessary to perform a strict perioperative management for receiving hernia repair and improving the quality of life.