CAJ | 학술논문

目的分析讨论成人女性腹股沟斜疝腹腔镜全腹膜外疝修补术(TEP)与开腹手术的临床疗效以及优劣,其中随访TEP中子宫圆韧带四种不同处理方式对成年女性的影响.方法采用TEP及开放手术,其中对TEP术式通过对手术过程、手术视频等的回顾性分析,重点观察子宫圆韧带的处理情况,本文分为四种处理方式,评价这四种方法的临床疗效以及意义.结果 TEP与开放手术两种手术方式的效果都是显著而安全的,疗效差异无统计学意义,且术后并发症的发生率差异也无统计学意义,但两种手术方法还都有其各自的优劣势.TEP子宫圆韧带处理方式中方式三手术时间最长,但是没有出现并发症;方式一、二手术时间较短,方式二出现1例腰背酸楚并发症;方式四最短,并发症也比其他组多.结论 TEP更利于恢复以及美观,而开放手术更经济.综合TEP中子宫圆韧带的四种方式,方式一因为其手术时间短,没有发生并发症,更值得推荐.
목적 분석토론성인녀성복고구사산복강경전복막외산수보술(TEP)여개복수술적림상료효이급우렬,기중수방TEP중자궁원인대사충불동처리방식대성년녀성적영향.방법 채용TEP급개방수술,기중대TEP술식통과대수술과정、수술시빈등적회고성분석,중점관찰자궁원인대적처리정황,본문분위사충처리방식,평개저사충방법적림상료효이급의의.결과 TEP여개방수술량충수술방식적효과도시현저이안전적,료효차이무통계학의의,차술후병발증적발생솔차이야무통계학의의,단량충수술방법환도유기각자적우열세.TEP자궁원인대처리방식중방식삼수술시간최장,단시몰유출현병발증;방식일、이수술시간교단,방식이출현1례요배산초병발증;방식사최단,병발증야비기타조다.결론 TEP경리우회복이급미관,이개방수술경경제.종합TEP중자궁원인대적사충방식,방식일인위기수술시간단,몰유발생병발증,경치득추천.
Objective To analyze and explore the clinical effect and advantages and disadvantages of total extraperitoneal hernia repair (TEP) and open surgery for inguinal hernia in adult females and to explore the effects of four different methods handling the round ligament of the uterus in TEP by follow-up.Methods TEP and open surgery were applied on 47 cases and 45 cases,respectively.The situations of four different methods handling the round ligament of uterus was observed retrospectively analyzing the operation process and video of TEP.The clinical effect and significance of these four methods were evaluated.Results TEP and open surgery both were effective and safe,with no statistical differences in clinical effect and the incidence of complications between them.However,both operations had their own advantages and disadvantages.The operation time was longest using method 3,but no complication occurred;shorter using method 1 and 2,but 1 case got back sour using method 2;shortest using method 4,but more complications occurred.Conclusions TEP is more helpful in recovering and more economical than open surgery.Method 1 for handling the round ligament of uterus in TEP has short operation time and get no complications,so it is worth being recommended.