CAJ | 학술논문

目的：对比分析自固定补片与普通平片在腹股沟疝无张力修补术的临床应用价值。方法回顾性分析中国人民解放军第二0二医院2013年1～9月应用自固定补片和普通平片行无张力疝修补术的患者169例，其中应用自固定补片行腹股沟疝无张力修补术78例（观察组），应用普通平片行腹股沟疝无张力修补术91例（对照组），比较二组手术时间、平均住院时间、阴囊积液、疼痛、复发及切口感染等指标。结果观察组手术时间（48．3±0．4）min，对照组手术时间（63．8±0．4）min，二组比较差异有统计学意义（t＝-14．61，P＝0．00）；观察组术后住院（3．2±0．5）d，对照组术后住院（3．5±0．6）d，二组平均住院时间比较差异无统计学意义（t＝-1．53，P＝0．13）。二组患者术后均随访3个月至1年，二组均无复发及切口感染。观察组阴囊积液2例，对照组阴囊积液3例，经对症治疗后均治愈；观察组经随访无局部疼痛患者，对照组局部明显疼痛5例（VAS＞3），观察6个月后疼痛消失，二组疼痛比较差异有统计学差异（P＝0．04）。结论应用自固定补片可减少患者手术时间和住院时间，并减轻术后疼痛，临床应用价值较高。
목적：대비분석자고정보편여보통평편재복고구산무장력수보술적림상응용개치。방법회고성분석중국인민해방군제이0이의원2013년1～9월응용자고정보편화보통평편행무장력산수보술적환자169례，기중응용자고정보편행복고구산무장력수보술78례（관찰조），응용보통평편행복고구산무장력수보술91례（대조조），비교이조수술시간、평균주원시간、음낭적액、동통、복발급절구감염등지표。결과관찰조수술시간（48．3±0．4）min，대조조수술시간（63．8±0．4）min，이조비교차이유통계학의의（t＝-14．61，P＝0．00）；관찰조술후주원（3．2±0．5）d，대조조술후주원（3．5±0．6）d，이조평균주원시간비교차이무통계학의의（t＝-1．53，P＝0．13）。이조환자술후균수방3개월지1년，이조균무복발급절구감염。관찰조음낭적액2례，대조조음낭적액3례，경대증치료후균치유；관찰조경수방무국부동통환자，대조조국부명현동통5례（VAS＞3），관찰6개월후동통소실，이조동통비교차이유통계학차이（P＝0．04）。결론응용자고정보편가감소환자수술시간화주원시간，병감경술후동통，림상응용개치교고。
Objective The automatic fixed mesh and ordinary mesh are compared in tension-free inguinal hernia repair.Methods A total of 1 69 cases of inguinal hernia performed with tension-free repair in People′s Liberation Army No.202 Hospital were retrospectively analyzed.All patients was divided into two groups,including automatic fixed mesh group (n=91 )and ordinary mesh group (n=78).The operation time,hospital stay after operation,complications and other indicators after operation were observed.Results The mean operation time was (48.3 ±0.4)minutes in observation group,and (63.8 ±0.4)minutes in control group,this difference was significant (t=-1 4.61 ,P=0.00).There was no difference in length of postoperative stay,as (3.2 ± 0.5 )days in observation group,and (3.5 ±0.6)days in control group (t=-1 .53,P =0.1 3 ).All patients in both groups were followed up for 3 months to 1 year,and no recurrence or wound infection were found.But scrotal hydrocele had occurred in 5 cases (2 cases vs.3 cases in observation group and control group,respectively),which were cured after symptomatic treatment.While no local pain was observed in observation group,and 5 cases of obvious local pain (VAS >3 ),which disappeared after 6 months,occurred in control group,this difference was significant (P =0.04). Conclusion Using automatic fixed mesh will decrease operation time and pain after operation,and it has a high value in clinical practice.