CAJ | 학술논문

通过对比完全腹膜外疝修补（术式包括腹腔镜下完全腹膜外疝修补术（TEP）后入路腹股沟疝修补（kugel术））与Lichtenstein疝修补术后血清肿的发生率，探讨发生原因，采取预防措施，为临床工作提供参考。方法回顾性分析我院2010-2013年间524例腹股沟疝术后患者资料。结果腹腔镜下完全腹膜外疝修补术（TEP）后血清肿发生率为8.5%（25/279）后入路腹股沟疝修补（kugel术）血清肿发生率为6.6%（12/181）。Lichtenstein疝修补术后血清肿发生率为1.5%（1/64）结论完全腹膜外疝修补术较Lichtenstein疝修补术有较高的血清肿发生率，其中病程长、疝囊大、疝内容物与疝囊粘连是血清肿高发生率的重要原因，切开远端疝囊，烧灼疝囊壁是减少发生率的有效办法。
통과대비완전복막외산수보（술식포괄복강경하완전복막외산수보술（TEP）후입로복고구산수보（kugel술））여Lichtenstein산수보술후혈청종적발생솔，탐토발생원인，채취예방조시，위림상공작제공삼고。방법회고성분석아원2010-2013년간524례복고구산술후환자자료。결과복강경하완전복막외산수보술（TEP）후혈청종발생솔위8.5%（25/279）후입로복고구산수보（kugel술）혈청종발생솔위6.6%（12/181）。Lichtenstein산수보술후혈청종발생솔위1.5%（1/64）결론완전복막외산수보술교Lichtenstein산수보술유교고적혈청종발생솔，기중병정장、산낭대、산내용물여산낭점련시혈청종고발생솔적중요원인，절개원단산낭，소작산낭벽시감소발생솔적유효판법。
objective to compare the rate of postoperative seroma between the totally extraperitoneal hernia repair (including laparoscopic totally extraperitoneal hernia repair (TEP) and poste-rior inguinal hernia repair (Kugel)) and Lichtenstein hernia repair, and to explore the causes and prevention of postoperative seroma. Methods a retrospective analysis of our hospital during 2010-2013 of 524 cases of inguinal hernia patients data was per-formed. Results The rate of postoperative seroma occurred in to-tally extraperitoneal laparoscopic hernia repair (TEP) and posteri-or inguinal hernia repair (Kugel) was 8.5% (25/279) and 6.6%(12/181) respectively, while postoperative seroma of Lichtenstein hernia repair occurred in 1.5% (1/64).Conclusions Totally ex-traperitoneal hernia repair has a higher incidence of seroma, com-pared with Lichtenstein herniorrhaphy. The important risk factor include long course of hernia, large hernia, hernial content and the adhesions of hernia sac. The distal incision of hernia sac and burning hernia wall could reduce the incidence rate of postopera- <br> tive seroma.