CAJ | 학술논문

目的探讨开放式前后入路腹股沟疝修补术的手术结果及临床转归情况,以选择最佳的手术方式.方法将366例腹股沟疝患者根据手术方入路方式不同,分为A、B组.其中A组的186例应用普理灵疝装置(prolene hernia system,PHS)前入路方式进行疝修补,B组的180例应用Kugel补片后入路方式进行疝修补,并比较2组的手术操作、术后恢复及手术后并发症的情况.结果 A、B组间的手术时间(43 ±9 vs 42±10)、住院时间(56±15 vs 53±15)、切口感染(3 vs 0)及复发率(2 vs 1)比较,差异无统计学意义(P＞0.05),但B组患者的术后伤口明显疼痛有13例、伤口肿胀反应18例、局部异物感12例、阴囊水肿8例明显优于A组患者(P＜0.05).结论与前入路PHS修补术相比,后入路Kugel补片修补手术的创伤小、并发症发生率低及恢复快.
목적 탐토개방식전후입로복고구산수보술적수술결과급림상전귀정황,이선택최가적수술방식.방법 장366례복고구산환자근거수술방입로방식불동,분위A、B조.기중A조적186례응용보리령산장치(prolene hernia system,PHS)전입로방식진행산수보,B조적180례응용Kugel보편후입로방식진행산수보,병비교2조적수술조작、술후회복급수술후병발증적정황.결과 A、B조간적수술시간(43 ±9 vs 42±10)、주원시간(56±15 vs 53±15)、절구감염(3 vs 0)급복발솔(2 vs 1)비교,차이무통계학의의(P＞0.05),단B조환자적술후상구명현동통유13례、상구종창반응18례、국부이물감12례、음낭수종8례명현우우A조환자(P＜0.05).결론 여전입로PHS수보술상비,후입로Kugel보편수보수술적창상소、병발증발생솔저급회복쾌.
Objective To choose the best surgical procedure,the surgical results and clinical outcomes of inguinal hernia repair with either an open anterior or posterior approach,were studied.Methods The 366 cases of inguinal hernia patients according to surgical side approach in different ways,is divided into A,B groups,Among group A of 186 cases repaired with application of prolene hernia system (PHS) via anterior approach,while group B of 180 cases surgically treated with Kugel technique with a posterior approach,and surgical procedure,postoperative recovery and complications were compared between these two groups,respectively.Results No significant differences were found in operation time,hospital stay,incisional infection rate and the recurrence rate (P ＞ 0.05).However,compared with group,the group B patients had less pain of the wound,slight postoperative swelling response,less foreign body aesthesis and hydrocele(P ＜ 0.05).Conclusion Compared with the anterior approach surgery,the posterior approach (Kugel technique) has less traumatic,low complication rate and rapid recovery after operation.