CAJ | 학술논문

目的探讨双网塞套入式无张力疝修补术治疗巨大腹股沟疝的临床体会及价值.方法总结2008年8月至2012年4月用双网塞套入式无张力疝修补术治疗巨大腹股沟疝24例患者.其中合并慢性呼吸系统疾病、前列腺增生症、习惯性便秘和心血管疾病者8例(占33.3%).结果本组无死亡,切口无感染,均为Ⅰ期愈合.术后3~7d出院.随访1~44个月,平均随访24个月,随访率100%,无1例复发.结论双网塞套入式无张力疝修补术治疗巨大腹股沟疝符合人体的生理解剖,操作简单,分离解剖少损伤轻,疝环充填物设计合理,无张力缝合,具有复发率低、术后修复快、并发症少、修补牢固可靠的优点,值得临床推广应用.
목적탐토쌍망새투입식무장력산수보술치료거대복고구산적림상체회급개치.방법총결2008년8월지2012년4월용쌍망새투입식무장력산수보술치료거대복고구산24례환자.기중합병만성호흡계통질병、전렬선증생증、습관성편비화심혈관질병자8례(점33.3%).결과본조무사망,절구무감염,균위Ⅰ기유합.술후3~7d출원.수방1~44개월,평균수방24개월,수방솔100%,무1례복발.결론쌍망새투입식무장력산수보술치료거대복고구산부합인체적생리해부,조작간단,분리해부소손상경,산배충전물설계합리,무장력봉합,구유복발솔저、술후수복쾌、병발증소、수보뢰고가고적우점,치득림상추엄응용.
Objective To study the clinical experience and value of double mesh plug tension-free hernioplasty to giant inguinal hernia. Methods The information 24 patients who were cured with double mesh plug tension-free hernioplasty to giant inguinal hernia in August 2008 to April 2012, which combined with chronic respiratory disease, the prostate gland hyperplasia, habitual constipation and cardiovascular diseases as 8 cases (33.3%). Results They are not death, incisions are not infection, they are allⅠ-healing and leaves the hospital after 3 to 7 days. Following-up 1~44 months, average 24 months, following-up rate is 100%.They are not a case of recurrence. Conclusion The double mesh plug tension-free hernioplasty to giant inguinal hernia huge accords with human body's physiological anatomy.Its operations are simply.Its separating anatomy is less, its damages are light. The hernia ring fillings design is reasonable and no tension suture.The recurrence rate is low. The repair is fast after operation.The complications are less.Its repairments are solid and reliable.It is worth clinical application.