CAJ | 학술논문

目的：集中探讨采用无张力平片修补术较常规加强缝合术在对老年患者腹壁巨大切口疝手术过程中的疗效对比。方法：选取2013年6月～2014年4月因疝气于我院普外科进行手术治疗的老年患者104例，按照随机分配的原则，采用无张力平片加强内脏囊进行修复治疗的52例患者为观察组，另52例采用常规加强缝合治疗的为对照组，比较两组患者的临床效果。结果：将两组患者治疗后疝囊内缺损发生率进行比较，对照组在术后疝囊内1个缺损发生率明显高于观察组患者，并且在疝囊手术中缺损发生的机率明显高于观察组患者，以上差异较大，具有明显的统计学意义；同时，观察组在治疗过程中较对照组术程更短、拔管时间更短、治疗更加经济有效；将两组患者治疗后术后并发率进行比较，同时将伤口感染率、血肿和腹壁僵硬发生率纳入对比观察。除伤口浅部感染发生率的比较中，两组差异不大，其他各项的比较中，观察组均优势明显，具有统计学意义。结论：因采用无张力平片加强内脏囊进行修复的过程中更加安全、术后并发症少同时伴有耗时短的优势，值得在临床中推广使用。
목적：집중탐토채용무장력평편수보술교상규가강봉합술재대노년환자복벽거대절구산수술과정중적료효대비。방법：선취2013년6월～2014년4월인산기우아원보외과진행수술치료적노년환자104례，안조수궤분배적원칙，채용무장력평편가강내장낭진행수복치료적52례환자위관찰조，령52례채용상규가강봉합치료적위대조조，비교량조환자적림상효과。결과：장량조환자치료후산낭내결손발생솔진행비교，대조조재술후산낭내1개결손발생솔명현고우관찰조환자，병차재산낭수술중결손발생적궤솔명현고우관찰조환자，이상차이교대，구유명현적통계학의의；동시，관찰조재치료과정중교대조조술정경단、발관시간경단、치료경가경제유효；장량조환자치료후술후병발솔진행비교，동시장상구감염솔、혈종화복벽강경발생솔납입대비관찰。제상구천부감염발생솔적비교중，량조차이불대，기타각항적비교중，관찰조균우세명현，구유통계학의의。결론：인채용무장력평편가강내장낭진행수복적과정중경가안전、술후병발증소동시반유모시단적우세，치득재림상중추엄사용。
ObjectiveTo investigate the effects of tension-free hernioplasty and general strengthen suture in operation. Methods Collected 104 elderly patients with operation in our general surgery department from 2013 June to 2014 April, di-vided into observation group received tension-free hernioplasty strengthening the visceral sac amd control group received gen-eral strengthen suture with 52 cases per subgroup randomly. To compare the clinical effects of two groups.Results The deletion occurrence of hernial sac in control group was higher than that of observation group during and after operation. The operation time, TTE and treatment cost of observation group were better than those of control group. There was not difference of superficial infection in two groups, the hematoma occurrence and abdominal wal stiffness occurrence of observation group were better than those of control group.Conclusion Tension-free hernioplasty strengthening the visceral sac on huge incisional fernia of ab-dominal wall in elderly patients can improve security, reduce complication and operation time and be worthy of application.