CAJ | 학술논문

目的：研究比较腹股沟疝采用腹腔镜和开放式无张力修补手术治疗的效果。方法基于手术方式的不同将该院收治的84例腹股沟疝患者分为腹腔镜组和开放式组，两组病例数均为42例，腹腔镜组采用腹腔镜疝修补术治疗，开放式组采用开放式无张力修补手术治疗，记录和比较两组患者手术时间、术后下床活动时间、住院天数、2周内恢复非限制性活动情况、并发症发生率以及疼痛分数。结果两组在住院天数、下床活动时间以及疼痛分数差异有统计学意义(P<0.05)；在手术时间、并发症发生率以及2周内恢复非限制性活动情况上比较差异无统计学意义(P跃0.05)。结论在腹股沟疝临床治疗中，腹腔镜与开放式无张力修补术各具优势，均安全且有效，临床实践过程中明确术式时可根据患者自身需求、手术类型以及医师自身经验选择合理的手术方式。但相对于开放式无张力修补手术而言，采用腹腔镜疝修补术治疗，可有效缓解疼痛，缩短术后下床活动时间以及住院天数，若条件允许，可优先选用该方法进行治疗。
목적：연구비교복고구산채용복강경화개방식무장력수보수술치료적효과。방법기우수술방식적불동장해원수치적84례복고구산환자분위복강경조화개방식조，량조병례수균위42례，복강경조채용복강경산수보술치료，개방식조채용개방식무장력수보수술치료，기록화비교량조환자수술시간、술후하상활동시간、주원천수、2주내회복비한제성활동정황、병발증발생솔이급동통분수。결과량조재주원천수、하상활동시간이급동통분수차이유통계학의의(P<0.05)；재수술시간、병발증발생솔이급2주내회복비한제성활동정황상비교차이무통계학의의(P약0.05)。결론재복고구산림상치료중，복강경여개방식무장력수보술각구우세，균안전차유효，림상실천과정중명학술식시가근거환자자신수구、수술류형이급의사자신경험선택합리적수술방식。단상대우개방식무장력수보수술이언，채용복강경산수보술치료，가유효완해동통，축단술후하상활동시간이급주원천수，약조건윤허，가우선선용해방법진행치료。
Objective To compare the effect between laparoscopic herniorrhaphy and open tension-free hernia repair for inguinal hernia. Methods Based on the different methods of surgery of our hospital, 84 patients with inguinal hernia admitted to our hospi-tal were divided into laparoscopic group (n=42) and open group(n=42).Patients in the laparoscopic group were treated with laparo-scopic herniorrhaphy, while those in the open group underwent open tension-free hernia repair. The operation time, postoperative ambulation time, hospitalization days, recovery of unrestricted activity in 2 weeks, complications rate and pain scores of the two groups were recorded and compared. Results There were statistically significant differences between the hospitalization days, am-bulation time and pain scores of the two groups, P<0.05;but there were not between the operation time, complications rate and re-covery of unrestricted activity in 2 weeks, P>0.05.Conclusion In clinical treatment of inguinal hernia, as two safe and effective operation method, both laparoscopic herniorrhaphy and open tension-free hernia repair hold their own advantages. Which one is better depends on the patient's need, operation types and physician's experience. But compared with open tension-free hernia re-pair, laparoscopic herniorrhaphy can effectively alleviate pain, shorten the postoperative ambulation time and hospitalization days, therefore it should be given priority under some conditions.