CAJ | 학술논문

目的：分析讨论开放式无张力疝修补术和腹腔镜疝修补术治疗成人腹腔沟疝的临床疗效，并且将这两种方法的优缺点进行比较。方法：收集52例成人腹股沟疝患者接受腹腔镜疝修补术治疗（治疗组）和63例成人腹股沟疝患者接受开放式无张力疝修补术治疗（对照组）患者的临床资料，并进行回顾性分析。探讨这两种手术方法的优缺点，记录并比较两组患者的住院时间、手术中的出血量、手术后的痛感持续时间以及手术后的复发率等。结果：治疗组患者的手术时间、手术中的出血量，以及手术之后的持续疼痛时间与对照组相比较短，两组手术后的复发率没有太大差异。结论：两种治疗方法各有优缺点。腹腔镜疝修补术治疗的效果优于传统的开放式无张力疝修补术治疗的效果，它具有创口更小，痛感更轻，恢复的更快的特点。
목적：분석토론개방식무장력산수보술화복강경산수보술치료성인복강구산적림상료효，병차장저량충방법적우결점진행비교。방법：수집52례성인복고구산환자접수복강경산수보술치료（치료조）화63례성인복고구산환자접수개방식무장력산수보술치료（대조조）환자적림상자료，병진행회고성분석。탐토저량충수술방법적우결점，기록병비교량조환자적주원시간、수술중적출혈량、수술후적통감지속시간이급수술후적복발솔등。결과：치료조환자적수술시간、수술중적출혈량，이급수술지후적지속동통시간여대조조상비교단，량조수술후적복발솔몰유태대차이。결론：량충치료방법각유우결점。복강경산수보술치료적효과우우전통적개방식무장력산수보술치료적효과，타구유창구경소，통감경경，회복적경쾌적특점。
Objective Analysis and discussion of open clinical effect of free tension hernia repair and laparoscopic hernia repair in the treatment,and compare the advantages and disadvantages of the two methods. Method Collected 52 cases of adult inguinal hernia patients undergoing laparoscopic hernia repair( treatment group),63 cases of adult patients undergoing inguinal hernia clinical data open tension-free hernia repair treatment( control group)patients were analyzed retrospectively. Explore the advantages and disadvantages of these two surgical methods,records and compared the two groups of patients hospital stay,surgical bleeding patient,the duration of post-operative pain and post-operative recurrence rate. Results The operation time,bleeding volume of patients in operation group,operation after sus-tained pain time compared with the control group,the recurrence rate of the two groups after operation and no difference. Conclusion Two kinds of treatment methods have advantages and disadvantages. Open and laparoscopic hernia repair in the treatment effect is better than the traditional tension free hernioplasty treatment effect,wound pain is smaller,lighter,faster recovery.