CAJ | 학술논문

目的：分析开放式腹膜前间隙疝修补术治疗腹股沟疝修补术后疼痛的原因。方法回顾性分析2012年6月至2015年1月，河北省赤城县妇幼保健院腹股沟疝63例患者的临床资料，均行腹膜前间隙腹股沟疝修补术，观察患者术后疼痛发生情况。结果本组63例患者均顺利完成手术，手术时间45～120 min，平均（55±3）min；住院时间3～7 d，平均（5．0±1．0） d。术后疼痛9例，其中切口疼痛7例，均发生于术后24 h内，术后3 d内疼痛均缓解。长期疼痛2例，分别于术后4、6个月缓解。随访3～12个月，无复发，无慢性疼痛。结论开放式腹膜前间隙无张力疝修补术治疗腹股沟疝是一种较为理想的手术方式。
목적：분석개방식복막전간극산수보술치료복고구산수보술후동통적원인。방법회고성분석2012년6월지2015년1월，하북성적성현부유보건원복고구산63례환자적림상자료，균행복막전간극복고구산수보술，관찰환자술후동통발생정황。결과본조63례환자균순리완성수술，수술시간45～120 min，평균（55±3）min；주원시간3～7 d，평균（5．0±1．0） d。술후동통9례，기중절구동통7례，균발생우술후24 h내，술후3 d내동통균완해。장기동통2례，분별우술후4、6개월완해。수방3～12개월，무복발，무만성동통。결론개방식복막전간극무장력산수보술치료복고구산시일충교위이상적수술방식。
Objective Analyze the causes of postoperative pain after open preperitoneal inguinal hernia repair .Methods A total of 63 cases of inguinal hernia who received preperitoneal inguinal hernia repair in Chicheng People′s Hospital between June 2012 and January 2015 , were enrolled and retrospectively analyzed.Incidence of postoperative pain was noted and recorded .Results All operations were successfully completed, with a mean operation time of ( 55 ±3 ) min, range 45 to 120 min, and a mean length of hospitalization stay of ( 5.0 ±1.0 ) days, range 3 to 7 days.9 cases of postoperative pain occurred , including 7 cases of immediate pain at 24 hours after surgery that improved in 3 days, and other 2 long-term pain which revealed relief in 4 months and 6 month, respectively .After 3 to 12 months of follow-up, no recurrence and no chronic pain were observed .Conclusion Open preperitoneal tension-free hernia repair is an ideal procedure for inguinal hernia .