CAJ | 학술논문

目的：探讨应用超普疝修补装置(UHS)行腹膜前无张力疝修补术的优势。方法回顾性分析2010年1月至2014年6月,安徽医科大学第一附属医院收治成人腹股沟疝患者157例的临床资料。其中72例行腹膜前无张力疝修补术(UHS 组),85例行疝环充填式无张力疝修补术(疝环充填组),比较二组手术时间、住院时间、术后疼痛发生率及复发率等。结果 UHS 组的手术时间和术后住院时间分别为(53±7) min,(3.2±2.2) d,疝环充填组的手术时间和术后住院时间分别为(62±28) min,(4.6±4.1) d；UHS 组术后疼痛发生率为2.78%,术后1年无复发,对照组术后疼痛发生率和术后1年复发率分别为15.29%,8.24%。采用 SPSS16.0统计学软件分析比较上述数据,UHS 组均优于疝环充填组(P<0.05)。结论与疝环充填式无张力疝修补术相比,UHS 腹膜前无张力疝修补术能明显缩短手术时间和术后住院时间,减低患者术后疼痛发生率及复发率。
목적：탐토응용초보산수보장치(UHS)행복막전무장력산수보술적우세。방법회고성분석2010년1월지2014년6월,안휘의과대학제일부속의원수치성인복고구산환자157례적림상자료。기중72례행복막전무장력산수보술(UHS 조),85례행산배충전식무장력산수보술(산배충전조),비교이조수술시간、주원시간、술후동통발생솔급복발솔등。결과 UHS 조적수술시간화술후주원시간분별위(53±7) min,(3.2±2.2) d,산배충전조적수술시간화술후주원시간분별위(62±28) min,(4.6±4.1) d；UHS 조술후동통발생솔위2.78%,술후1년무복발,대조조술후동통발생솔화술후1년복발솔분별위15.29%,8.24%。채용 SPSS16.0통계학연건분석비교상술수거,UHS 조균우우산배충전조(P<0.05)。결론여산배충전식무장력산수보술상비,UHS 복막전무장력산수보술능명현축단수술시간화술후주원시간,감저환자술후동통발생솔급복발솔。
Objective To compare the clinical results of preperitoneal tension-free herniorrhaphy with ultrapro hernia system (UHS) and open Mesh-plug hernia repair. Methods A retrospective analysis was conducted on 157 cases of adult inguinal hernia managed in the First Affiliated Hospital of Anhui Medical University, during January 2010 to June 2014. 72 cases were treated by the preperitoneal tension-free herniorrhaphy with UHS, and the others underwent mesh-plug repair as control. All of clinic data of two groups were analyzed (e. g. , operation time, hospitalization time, postoperative pain and recurrence rate). Results The operation time for UHS group was (53±7) min, and postoperative length of stay was (3. 2±1. 2) d. The operation time and postoperative stay of control group was (62± 28) min, (4. 6±4. 1) d. The incidence of postoperative pain was 2. 78% in UHS group, and no recurrence. While the pain rate and recurrence in control group were 15. 29% and 8. 24% , respectively. The difference were significant as analyzed by SPSS 16. 0 (P<0. 05). Conclusion The results of two different operations are satisfactory. However, preperitoneal herniorrhaphy with UHS is superior to mesh-phug repair in terms of less operation time, recovery time, postoperative pain and recurrence.