腹股沟疝分型在疝环充填式无张力疝修补术中的应用  

Value of inguinal hernia classification in selecting method of “tension-free”inguinal herniorrhaphy

作　　者：姜海平[1] 杨冠群[1] 曹明溶[1] 罗羽宏[1] 汤汉林[1] 

机构地区：[1]暨南大学医学院第一附属医院普外科,广州510630

出　　处：《岭南现代临床外科》2001年第2期84-86,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的 探讨腹股沟疝分型在疝环充填式无张力疝修补术术式选择中的价值。方法 对30例腹股沟疝病人在术中按Nyhus分型方法进行疝分类,根据分型选择疝环充填式无张力修补术不同术式并观察疗效。结果 本组Ⅰ型疝7例(23.3％)、Ⅱ型疝14例(46.7％)、Ⅲ型A3例(10％)、Ⅲ型B3例(10％)、Ⅲ型C2例(6.67％),Ⅵ型1例(3.3 %),全组均治愈,住院3～7天,无切口感染,随访3～18月无复发,随访率95％。结论 对腹股沟疝进行分型,针对性采取疝环充填式无张力修补术不同术式,有助实施疝手术的个体化方案,减少疝的复发。Objective:To evaluate value of inguinal hernia classification in selecting method of “tension-free” inguinal herniorrhaphy. Methods: 20 patients with inguinal and femoral hernia were treated with an umbrella mesh plug repair according to classification of inguinal hernia with Nyhus'method in the operation.Information was recorded about postoperative recovery and complications. Results:Of 20 patients,13(65%) were classified type Ⅰ,3(15%) type Ⅱ,1(5%) type Ⅲ A,2(10%) type Ⅲ B,1(5%)type C Except for 1 case of urinary re-tention, there weren't incisional infection and recurrence. Conclusion:Patients with inguinal hernia, who under went an umbrella mesh plug repair according to different type of inguinal hernia,have a few postoperative com-plications and recurrence.

关 键 词：腹股沟疝 疝修补术 分类 

分 类 号：R6[医药卫生—外科学]