CAJ | 학술논문

目的：探讨成人腹股沟疝无张力疝修补术后切口感染的高危因素和治疗。方法回顾性分析1998年10月至2013年12月，大连医科大学附属大连市友谊医院收治的腹股沟疝患者1218例，行无张力疝修补术。结果术后共发生切口感染6例，切口感染率为0．49％。其中浅部感染3例，经保守治疗愈合；早期深部感染2例，2～3个月后手术取出补片；迟发深部感染1例，行补片取出，回盲部切除治愈。结论预防腹股沟疝无张力疝修补术后切口感染的重点在于针对不同高危因素采取有效的预防措施，围手术期严格手术操作规范。早期可先行保守治疗，如保守治疗无效，应当再次手术去除补片，二次手术不宜再用补片修补。
목적：탐토성인복고구산무장력산수보술후절구감염적고위인소화치료。방법회고성분석1998년10월지2013년12월，대련의과대학부속대련시우의의원수치적복고구산환자1218례，행무장력산수보술。결과술후공발생절구감염6례，절구감염솔위0．49％。기중천부감염3례，경보수치료유합；조기심부감염2례，2～3개월후수술취출보편；지발심부감염1례，행보편취출，회맹부절제치유。결론예방복고구산무장력산수보술후절구감염적중점재우침대불동고위인소채취유효적예방조시，위수술기엄격수술조작규범。조기가선행보수치료，여보수치료무효，응당재차수술거제보편，이차수술불의재용보편수보。
Objective To investigate the risk factors and treatment of wound infection after tension-free herniorrhaphy in adult inguinal hernia.Methods Clincal data of 1 21 8 cases of adult inguinal hernia, who underwent tension-free herniorrhaphy in the Affiliated Dalian Friendship Hospital of Dalian Medical University were retrospectively analyzed.Results A total of 6 patients developed wound infection after tension-free herniorrhaphy,the infection rate of was 0.49%,3 of them were superficial infection,which could be cured by conservative treatment.Early deep surgical site infection occurred in 2 patients,who received reoperation to remove the mesh after two to three months.One was delayed deep infection,healed by mesh removal and ileocecal resection.Conclusions The emphasis to prevent wound infection after inguinal hernia tension-free herniorrhaphy is to take effective prophylactic interventions according to different risk factors,and to stress strict operative procedurein perioperative period;the conservative treatment can be done at early time.However,the mesh should be removed if the conservative treatment is invalid.Another mesh is not recommended in thesecond operation.