CAJ | 학술논문

目的：探讨应用疝网片行腹膜前无张力疝修补术治疗腹股沟疝的临床效果。方法回顾分析应用疝网片行腹膜前无张力疝修补术治疗腹股沟疝患者168例的临床资料。观察患者性别、年龄、手术方法、手术时间、术后复发及并发症情况。结果全部手术患者均治愈出院。手术时间35～90 min，术后6～12 h可下床活动，无明显慢性疼痛及异物感。术后并发症：尿潴留32例，阴囊积液3例，阴囊血肿2例，切口感染1例。62例术后随访6～18个月，无复发病例。结论应用疝网片行腹膜前无张力疝修补术治疗腹股沟疝是目前较为理想安全有效的手术方式。
목적：탐토응용산망편행복막전무장력산수보술치료복고구산적림상효과。방법회고분석응용산망편행복막전무장력산수보술치료복고구산환자168례적림상자료。관찰환자성별、년령、수술방법、수술시간、술후복발급병발증정황。결과전부수술환자균치유출원。수술시간35～90 min，술후6～12 h가하상활동，무명현만성동통급이물감。술후병발증：뇨저류32례，음낭적액3례，음낭혈종2례，절구감염1례。62례술후수방6～18개월，무복발병례。결론응용산망편행복막전무장력산수보술치료복고구산시목전교위이상안전유효적수술방식。
Objective To explore the clinical value of prepertoneal tension-free hernioplasty with EasyPros-thesis Mesh to repair inguinal hernia .Methods The date of 168 patients with inguinal hernia treated by prepertoneal tension-free hernioplasty with EasyProsthesis Mesh were reviewed and analyzed .The patients gender , age,operative technique,operative time,postoperative complications and rate of recurrence were observed .Results All cases were healed and discharged from hospital .The operative time was 35~90 minutes.The average time when the patients can walk on foot out of hospital bed after opration was 6~12 hours.No cases had the chronic pain and foreign body sen-sation after opration .Postoperative complications:there were 32 cases of urinary retention;3 cases of scrotal edema;2 cases of scrotal hematoma;1 case of incision infection .No recurrence was found in 62 patients in follow up of 6~18 months.Conclusion Prepertoneal tension-free hernioplasty with EasyProsthesis Mesh to repair inguinal hernia is a safe and feasible effective surgical technique ,and be worth to popularize .