CAJ | 학술논문

目的：探讨腹股沟嵌顿疝的术式选择,放置补片的指征,术后并发症的影响因素及处理方法。方法回顾性分析2005年8月至2014年7月,杭州市第一人民医院153例接受手术治疗腹股沟嵌顿疝患者的临床资料,统计分析一般情况、疝类型、发病至就诊时间、手术方式、是否放置补片及补片类型、术后并发症。结果本组患者,71例行肠切除,82例行无肠切除。肠切除主要风险因素为性别、年龄、疝类型、痴呆等精神疾病、嵌顿时间等。本组患者放置补片76例,补片感染者2例,1例移除补片,无复发。结论肠切除不是补片修补的禁忌,对于相对清洁的创面可选择补片修补,对患者减少复发的获益大于增加的潜在感染风险。
목적：탐토복고구감돈산적술식선택,방치보편적지정,술후병발증적영향인소급처리방법。방법회고성분석2005년8월지2014년7월,항주시제일인민의원153례접수수술치료복고구감돈산환자적림상자료,통계분석일반정황、산류형、발병지취진시간、수술방식、시부방치보편급보편류형、술후병발증。결과본조환자,71례행장절제,82례행무장절제。장절제주요풍험인소위성별、년령、산류형、치태등정신질병、감돈시간등。본조환자방치보편76례,보편감염자2례,1례이제보편,무복발。결론장절제불시보편수보적금기,대우상대청길적창면가선택보편수보,대환자감소복발적획익대우증가적잠재감염풍험。
Objective To research the treatment of incarcerated groin hernia and the opportunity for mesh repair, to investigate the influencing factors and management of postoperative complications. Methods This study was conducted on 153 patients with incarcerated inguinal hernias who presented to Hangzhou First People′s Hospital and accepted an emergency surgery during August 2005 to July 2014. All patients′ general condition, hernia type, hospitalization time, surgical procedures, mesh type and complications were collected, reviewed and analyzed. Results 71 patients underwent bowel resection in the total of 153 patients. The main risk factors for bowel resection were gender, age, hernia type, dementia, and delay hospitalization. 76 patients′ hernia were repaired with mesh. 2 of them had mesh infection, one should be removed, and none recurrence developed. Conclusion Bowel resection is not the contraindication of mesh repair. It may have more benefits in term of recurrence rather than increasing the risks of infection in clean-contamination field.