CAJ | 학술논문

目的：局部神经阻滞麻醉下腹股沟疝腹膜前间隙修补术治疗效果，总结治疗经验。方法回顾性分析内蒙古医科大学附属医院自2010年4月至2014年1月期间收治的506例腹股沟疝患者的临床资料，所有病例均采用局部神经阻滞麻醉下腹膜前间隙修补术。结果本组患者，男性427例，女性79例；年龄19～89岁，平均年龄（63±14）岁。手术时间平均30±15min。患者术后即可下活动。平均住院时间（2±1）d。随访3月～24月，术后复发4例，术后1例发生术区慢性疼痛，经过局部封闭注射后治愈；术后5例发生局部浆液肿，经过理疗等对症治疗治愈。结论局部神经阻滞麻醉下腹股沟疝腹膜前间隙修补术，手术时间短，符合腹股沟解剖生理学修补，术后疼痛轻、恢复快、并发症少和复发率低，是一种更为安全、合理、可靠的无张力修补方法。
목적：국부신경조체마취하복고구산복막전간극수보술치료효과，총결치료경험。방법회고성분석내몽고의과대학부속의원자2010년4월지2014년1월기간수치적506례복고구산환자적림상자료，소유병례균채용국부신경조체마취하복막전간극수보술。결과본조환자，남성427례，녀성79례；년령19～89세，평균년령（63±14）세。수술시간평균30±15min。환자술후즉가하활동。평균주원시간（2±1）d。수방3월～24월，술후복발4례，술후1례발생술구만성동통，경과국부봉폐주사후치유；술후5례발생국부장액종，경과리료등대증치료치유。결론국부신경조체마취하복고구산복막전간극수보술，수술시간단，부합복고구해부생이학수보，술후동통경、회복쾌、병발증소화복발솔저，시일충경위안전、합리、가고적무장력수보방법。
Objective to evaluate the effect of the open preperitoneal groin hernioplasty in the inguinal hernia.Methods The study include 506 patients were inguinal hernias in The first affliated hospital of Inner Mongolia medical university from ang.2010 to dec.2014.all the patients were treated with the open preperitoneal groin hermioplasty in the inguinal hernia. Results the average age of these patients was(63±14)yeare.the average operation time was 30±15min,and all operation were successful without serious complications.the average length of stay in hospital was (2±1)days. there were there recurrence cases in the follow-up time from 3 to 24 months.Conclusions the preperitoneal tension-free hermioplasty has lower tension,shorter operation time, fewer postoperative pain,faster recovery ,fewer complications, and it is more consistent with the inguinal anatomy and physiology.it is a safe and effective method.