CAJ | 학술논문

目的分析探讨腹股沟疝术后复发的原因，指导临床治疗方案的实施。方法对2010~2013年536例腹股沟疝患者手术治疗后进行1~2年的随访，观察术后复发情况及分析复发的具体原因。结果2年随访共有41例腹股沟疝患者术后复发，复发率为7.65%。分析腹股沟疝患者术后复发的具体原因，包括以下方面：未能彻底处理术前并发症；手术操作失误；术后并发症以及术后过早参与重体力活动等。结论多种原因可造成腹股沟疝术后复发，注意围手术期的各个环节，可尽量减少腹股沟疝术后复发率。
목적분석탐토복고구산술후복발적원인，지도림상치료방안적실시。방법대2010~2013년536례복고구산환자수술치료후진행1~2년적수방，관찰술후복발정황급분석복발적구체원인。결과2년수방공유41례복고구산환자술후복발，복발솔위7.65%。분석복고구산환자술후복발적구체원인，포괄이하방면：미능철저처리술전병발증；수술조작실오；술후병발증이급술후과조삼여중체력활동등。결론다충원인가조성복고구산술후복발，주의위수술기적각개배절，가진량감소복고구산술후복발솔。
Objective To analyze the causes of recurrent inguinal hernia surgery, to guide the implementation of the clinical treatment. Methods 536 patients with inguinal hernia surgery from 2010 to 2013 in 1 ~ 2 years of fol ow-up after treatment, observation of postoperative relapse and recurrence analysis specific reasons. Results 2 years fol ow-up of a total of 41 patients with inguinal hernia recurrence, the recurrence rate was 7.65%. Analysis of the specific reason for inguinal hernia patients postoperative recurrence, including the fol owing aspects: [1]failed to completely deal with preoperative complications; [2]operation mistakes; [3]the postoperative complications, and postoperative early to participate in heavy physical activity, etc. Conclusion A variety of reasons can cause postoperative recurrent inguinal hernia, pay at ention to perioperative each link, can minimize the inguinal hernia recurrence after surgery.