CAJ | 학술논문

目的：探讨腹腔镜完全腹膜外腹股沟疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的临床效果。方法将106例成人腹股沟疝患者随机分为两组，对照组53例采用开放式无张力疝修补术治疗；观察组53例腹腔镜完全腹膜外腹股沟疝修补术，并比较两组的临床效果。结果观察组的术中出血量、术后疼痛持续时间、术后下床活动时间、术后住院时间及住院费用与对照组比较差异有显著性（均P＜0．05），而两组的手术时间比较差异无显著性（P＞0．05），观察组的并发症发生率为22．64％与对照组的32．08％相比较差异无显著性（ P＞0．05）。结论腹腔镜与开放式无张力疝修补术治疗成人腹股沟疝各有自己的优缺点，可根据患者的实际情况制定相应的个体化治疗方案，选择最优化的、最合理的治疗方式。
목적：탐토복강경완전복막외복고구산수보술여개방식무장력산수보술치료성인복고구산적림상효과。방법장106례성인복고구산환자수궤분위량조，대조조53례채용개방식무장력산수보술치료；관찰조53례복강경완전복막외복고구산수보술，병비교량조적림상효과。결과관찰조적술중출혈량、술후동통지속시간、술후하상활동시간、술후주원시간급주원비용여대조조비교차이유현저성（균P＜0．05），이량조적수술시간비교차이무현저성（P＞0．05），관찰조적병발증발생솔위22．64％여대조조적32．08％상비교차이무현저성（ P＞0．05）。결론복강경여개방식무장력산수보술치료성인복고구산각유자기적우결점，가근거환자적실제정황제정상응적개체화치료방안，선택최우화적、최합리적치료방식。
Objective To investigate the clinical effect of laparoscopic totally extraperitoneal inguinal herniarepairandopentension-freeherniarepairinthetreatmentofadultinguinalhernia.Methods 106casesof adult inguinal hernia were randomly divided into two groups, 53 cases in the control group using open tension free Hernioplasty Treatment;the observation group of 53 cases of laparoscopic totally extraperitoneal inguinal hernia repair, and to compare the clinical effect of two groups.Results The amount of bleeding, postoperative observation group, postoperative pain duration, postoperative bed time, postoperative hospital stay was significantly and hospitalization expenses and the control group (P<0.05), but the operation time of two groups had no significant difference (P>0.05), the observation group and hair the incidence rate was 22.64%and 32. 08%in the control group compared with no significant difference (P>0.05).Conclusions Laparoscopic and open tension-free herniorrhaphy for adult inguinal hernia each have their own advantages and disadvantages, can develop individualized treatment according to the actual situation of patients, get the most reasonable choice of treatment mode with optimization.