经腹股沟切口Kugel腹股沟疝修补术应用体会(附50例报告)  

Clinical application of Kugel hernioplasty via an inguinal incision:report of 50 cases

作　　者：黄磊[1] 唐健雄[1] 陈革[1] 袁祖荣[1] 

机构地区：[1]上海华东医院疝和腹壁外科治疗和培训中心,上海200040

出　　处：《外科理论与实践》2004年第4期349-352,共4页Journal of Surgery Concepts & Practice

摘　　要：目的探讨经腹股沟切口应用Kugel腹股沟疝修补术的优点,以及其在早期学习者中如何掌握标准时所起的作用。方法回顾性总结、分析自2003年3月至2004年2月间所作50例经腹股沟切口Kugel腹股沟疝修补术的经验。结果本组50例,包括Ⅱ型者30例,Ⅲ型者14例,Ⅳ型者6例;其中10例分别伴有精索鞘膜积液、精索囊肿、精索脂肪瘤、子宫圆韧带囊肿,术中一并切除。47例得到随访,随访率94%,随访时间3～15个月,平均7.4个月。术后发生阴囊水肿3例,无一例有感染、复发、腹股沟区慢性疼痛、睾丸萎缩、射精痛等并发症发生。结论经腹股沟切口作Kugel腹股沟疝修补术不仅具有标准Kugel法的一切优点,同时还能作为早期学者掌握标准Kugel术的一个重要手段。Objective To disscuss the advantage of Kugel hernioplasty via an inguinal incision and it's advantage for new learners in acquiring the technique of the standard Kugel hernioplasty. Methods A retrospective study was made to analyze the experience of performing Kugel hernioplasty via an inguinal incision for 50 patients between March 2003 to February 2004. Results There were 30 type Ⅱ, 14 type Ⅲ, and 6 type Ⅳ hernias in the series. Ten patients had other concomitant problems which were treated during the same operation in the inguinal area(hydrocele of the spermatic cord in 3, funicular hydrocele in 1, lipoma of the spermatic cord in 4, and cyst of the round ligament in 2). Forty-seven patients were followed up for 3 to 15 months(average 7.4 months), the rate of follow-up was 94%. There were 3 case of hydrocele of the scrotum after operation. No of infection, recurrence, chronic pain in the inguinal area, atrophy of testis, or pain during ejaculation occurred. Conclusion Kugel hernioplasty via an inguinal incision has all the merit of the standard Kugel hernioplasty. It could be used as an important means in the early stage of learning the Kugel procedure.

关 键 词：腹股沟切口 腹股沟疝 疝修补术 

分 类 号：R656.2[医药卫生—外科学]