CAJ | 학술논문

目的：探讨完全腹膜外腔镜疝修补术（TEP）在腹股沟疝无张力修补术中的价值和手术技巧。方法回顾性分析我院23例行完全腹膜外腔镜疝修补术患者的临床资料。结果初发疝患者15例，局部注射硬化剂患者2例，局部曾行疝修补患者6例。腹膜穿破患者4例，行缝合修补；膀胱损伤3例，行单纯浆肌层缝合修补；腹壁下动脉损伤2例，行术中结扎离断。输精管损伤1例，行结扎横断。结论完全腹膜外腔镜疝修补术使手术解剖更加清楚，准确，出血更少，疗效更确切，代表了疝修补术的发展趋势。
목적：탐토완전복막외강경산수보술（TEP）재복고구산무장력수보술중적개치화수술기교。방법회고성분석아원23례행완전복막외강경산수보술환자적림상자료。결과초발산환자15례，국부주사경화제환자2례，국부증행산수보환자6례。복막천파환자4례，행봉합수보；방광손상3례，행단순장기층봉합수보；복벽하동맥손상2례，행술중결찰리단。수정관손상1례，행결찰횡단。결론완전복막외강경산수보술사수술해부경가청초，준학，출혈경소，료효경학절，대표료산수보술적발전추세。
Objective To study the value and surgical techniques of TEP in the repair of inguinal hernia without tension. Methods Retrospective analysis of 23 routine completely outside the peritoneal cavity mirror the clinical data of patients with hernia repair. Results 15 patients with incipient hernia, 2 patients with local injections of hardener, 6 patients with partial underwent hernia repair. 4 patients with peritoneal wear out, the suture line repair; 3 cases of bladder and pure pulp muscularis suture repair; Abdominal wal under the arterial injury in 2 cases, intraoperative ligation was suggested. Vas deferens damage in 1 case, cross sectional line ligation. Conclusion The TEP make surgical anatomy more clear, accurate, less bleeding, more exact curative effect, represents the development trend of the hernia repair.