CAJ | 학술논문

目的：通过两种不同手术方式治疗腹股沟斜疝，对其临床疗效进行对比分析。方法随机选取2011年4月-2012年7月入住该院进行治疗的180例腹股沟斜疝患者，将其随机分为对照组和观察组，每组各90例患者，对照组患者采取传统修补术进行治疗，观察组采取无张力修补术进行治疗。进行为期2年的随访，对两组患者的疗效进行观察。结果对两组患者的手术时间、自主下床活动时间、住院时间进行对比，观察组患者均优于对照组。对两组患者的血清炎症介质进行对比，如白细胞、C-反应细胞、血清纤维蛋白质以及a1-抗胰蛋白酶，观察组患者的各项指标均优于对照组患者，说明无张力修补术治疗腹股沟斜疝具有更显著的疗效，P<0.05，其差异有统计学意义。结论无张力修补术具有并发症少、适应症宽、疗效较好的优点，值得进一步在临床上推广使用。
목적：통과량충불동수술방식치료복고구사산，대기림상료효진행대비분석。방법수궤선취2011년4월-2012년7월입주해원진행치료적180례복고구사산환자，장기수궤분위대조조화관찰조，매조각90례환자，대조조환자채취전통수보술진행치료，관찰조채취무장력수보술진행치료。진행위기2년적수방，대량조환자적료효진행관찰。결과대량조환자적수술시간、자주하상활동시간、주원시간진행대비，관찰조환자균우우대조조。대량조환자적혈청염증개질진행대비，여백세포、C-반응세포、혈청섬유단백질이급a1-항이단백매，관찰조환자적각항지표균우우대조조환자，설명무장력수보술치료복고구사산구유경현저적료효，P<0.05，기차이유통계학의의。결론무장력수보술구유병발증소、괄응증관、료효교호적우점，치득진일보재림상상추엄사용。
Objective Through two different ways of?operation?in treatment of?inguinal hernia,?compare the?clinical efficacy. Methods 180 cases of inguinal hernia patients in our hospital from April 2011 to July 2012 were randomly divided into control group and observation group, 90 patients in each group, the control group of patients taking traditional repair treatment, observation group taking tension-free repair treatment. For a period of 2 years of follow-up, the efficacy of the two groups were observed. Results Operation time, independent ambulation time, hospitalization time of two groups were compared, the patients of observation group was better than control group.Comparison of serum inflammatory mediators in patients of the two groups, such as white blood cells, C-cells, serum reaction fibrous protein and a1-antitrypsin, the indexes of observed group of patients was better than those of the control group; tension free repair in treatment of indirect inguinal hernia has more significant effect, P<0.05, the difference was statistically significant. Conclusion The tension-free repair has fewer complications, indications wide, good effect, worthy of further promoting the use in clinical practice.