CAJ | 학술논문

目的：比较3种不同无张力疝修补术的疗效。方法：采用前瞻性随机对照研究，用随机数字表法将符合纳入条件的患者分为3组，每组50例，分别进行疝环网塞补片式无张力修补术（Mesh-plug组）、Lichtenstein无张力修补术(Mycromesh组)和前入路腹膜前修补术(MK组)治疗，比较3种修补方法的术后并发症及治疗效果。结果：Mesh-plug组平均手术时间39 min，Mycromesh组44 min，MK组54 min，Mesh-plug组手术时间较短。Mesh-plug组局部异物感发生例数多（P＜0.01），而Mycromesh组局部疼痛感较明显（P＜0.05）。本研究采用了3种修补方法均未见疝复发。结论：临床上应根据不同的病情选择组织相容性好的修补材料，采取合理的手术方式。
목적：비교3충불동무장력산수보술적료효。방법：채용전첨성수궤대조연구，용수궤수자표법장부합납입조건적환자분위3조，매조50례，분별진행산배망새보편식무장력수보술（Mesh-plug조）、Lichtenstein무장력수보술(Mycromesh조)화전입로복막전수보술(MK조)치료，비교3충수보방법적술후병발증급치료효과。결과：Mesh-plug조평균수술시간39 min，Mycromesh조44 min，MK조54 min，Mesh-plug조수술시간교단。Mesh-plug조국부이물감발생례수다（P＜0.01），이Mycromesh조국부동통감교명현（P＜0.05）。본연구채용료3충수보방법균미견산복발。결론：림상상응근거불동적병정선택조직상용성호적수보재료，채취합리적수술방식。
Objective To Compare the efficacy of three different tension-free herniorrhaphies: Mesh-plug, Mycromesh and MK(Modified Kugel Hernia patch). Methods A prospective randomized controlled study to meet the inclusion criteria, patients were divided into three groups(50/group),with the random number table. Mesh-plug Mycromesh and MK(Modified Kugel Hernia patch) were used in different groups respectively. Results The mean operative time in Mesh-plug group was 39min, in Mycromesh group was 44 min and in MK group was 54 min. The differences among three groups were statistically significant. Local foreign body sensation was more in Mesh-plug group (P<0.01), local pain was more obvious in Mycromesh group (P<0.05). In this study, three repair methods showed no recurrence of hernia. Conclusion Better results of herniorrhaphy depends on repair materials with good histocompatibility, and reasonable surgical option according to individual patients.