CAJ | 학술논문

目的：比较完全腹膜外腹腔镜及开放式无张力腹股沟疝修补术的临床疗效。方法：收集104例腹股沟疝修补术患者临床资料,按照手术方式的不同分为完全腹膜外腹腔镜疝修补组(腹腔镜组,46例)和开放式无张力疝修补组(开放组,58例),比较2组患者围手术期的相关临床指标及术后复发率。结果：2组手术均得到较好疗效,2组手术时间、疼痛持续时间、术后住院时间及住院费用差异均有统计学意义(P<0.05),而2组患者术中出血量和术后并发症差异均无统计学意义(P>0.05),2组术后1年均无复发病例。结论：完全腹膜外腹腔镜及开放式无张力腹股沟疝修补术均是安全有效的手术方式,各有利弊,应该根据患者的个体化情况来选择术式。
목적：비교완전복막외복강경급개방식무장력복고구산수보술적림상료효。방법：수집104례복고구산수보술환자림상자료,안조수술방식적불동분위완전복막외복강경산수보조(복강경조,46례)화개방식무장력산수보조(개방조,58례),비교2조환자위수술기적상관림상지표급술후복발솔。결과：2조수술균득도교호료효,2조수술시간、동통지속시간、술후주원시간급주원비용차이균유통계학의의(P<0.05),이2조환자술중출혈량화술후병발증차이균무통계학의의(P>0.05),2조술후1년균무복발병례。결론：완전복막외복강경급개방식무장력복고구산수보술균시안전유효적수술방식,각유리폐,응해근거환자적개체화정황래선택술식。
Objective:To compare the efficacy of totally extraperitoneal prosthesis ( TEP ) and open tension-free hernioplasty in inguinal hernia repair. Methods:One hundred and four patients treated with inguinal hernia repair were divided into the TEP group(46 cases) and open tension-free hernioplasty group(58 cases) according to their operation methods. The perioperative clinical parameters and recurrence rate between two groups were compared. Results:The therapeutic effects of two groups were better. The differences of the time of operation, postoperative pain, hospital stay and hospitalization expense between two groups were statistically significant ( P <0.05).The differences of the blood loss and postoperative complications between two groups were not statistically significant(P >0. 05). There was not recurrence in two groups after following up for 1 year. Conclusions:Both TEP and open tension-free hernioplasty in treating inguinal hernia are effective,the treatment should be selected according to patient condition.