CAJ | 학술논문

目的：比较赫美Oval Patch补片与成型网塞补片无张力疝修补术的临床效果。方法对2012年1月至2014年1月160例单侧腹股沟疝患者随机分为赫美Oval Patch补片组（试验组）与成型网塞补片组（对照组），回顾性对比分析两组患者的临床资料，比较两组手术时间、术后住院时间，术后24 h的疼痛及术后3个月慢性疼痛VAS评分，术后异物感等并发症发生情况。结果两组患者手术顺利。手术时间试验组（34.35±7.95）min，对照组（39.86±7.34）min；两组手术时间差异有统计学意义（P<0.05）；术后住院时间试验组（2.44±0.87）d，对照组（2.55±0.73）d，两组术后住院时间、住院费用差异无统计学意义；术后24 h疼痛及术后3个月慢性疼痛VAS评分差异有统计学意义（P<0.05）；术后异物感差异有统计学意义（P<0.05）；随访4~29个月，两组术后均无复发和伤口感染病例。结论利用赫美Oval Patch补片进行腹膜前无张力疝修补术，临床效果与疝环充填式修补术相近，但具有手术时间短、术后疼痛轻及异物感低等优点。
목적：비교혁미Oval Patch보편여성형망새보편무장력산수보술적림상효과。방법대2012년1월지2014년1월160례단측복고구산환자수궤분위혁미Oval Patch보편조（시험조）여성형망새보편조（대조조），회고성대비분석량조환자적림상자료，비교량조수술시간、술후주원시간，술후24 h적동통급술후3개월만성동통VAS평분，술후이물감등병발증발생정황。결과량조환자수술순리。수술시간시험조（34.35±7.95）min，대조조（39.86±7.34）min；량조수술시간차이유통계학의의（P<0.05）；술후주원시간시험조（2.44±0.87）d，대조조（2.55±0.73）d，량조술후주원시간、주원비용차이무통계학의의；술후24 h동통급술후3개월만성동통VAS평분차이유통계학의의（P<0.05）；술후이물감차이유통계학의의（P<0.05）；수방4~29개월，량조술후균무복발화상구감염병례。결론이용혁미Oval Patch보편진행복막전무장력산수보술，림상효과여산배충전식수보술상근，단구유수술시간단、술후동통경급이물감저등우점。
Objective To compare the clinical effects of Herniamesh Oval Patch with tension-free plug-mesh in the treatment of inguinal hernia repair.Methods One hundred and sixty cases of unilateral inguinal hernia from our department from January 2012 to January 2014 were randomly divided into Herniamesh Oval Patch group (trial group) and plug-mesh Patch group (control group), and a retrospective analysis of their clinical data was carried out, including the comparisons of operation time and hospitalization stay, postoperative pain in 24 hours and postoperative chronic pain VAS score after 3 months, and other complications.Results Operations of both groups went smoothly. The operation time was (34.35±7.95) minutes in trial group and (39.86±7.34) minutes in the control group; which had a significant difference(P<0.05). The hospitalization stay of trial group was (2.44±0.87) days and (2.55±0.73) days for control group; postoperative hospitalization stay and expenses had no significant differences. There was statistically significant difference in VAS score and postoperative complications(P<0.05). A 4- to 29-month follow-up showed no recurrence and wound infections.Conclusion The clinical effect of Herniamesh Oval Patch in inguinal tension-free hernia is similar to tension-free plug-mesh hernia repair, with the advantages of shorter operation time, less pain and lower foreign body sensation.