普里灵疝装置在合并腹内压增高疾病的腹股沟疝修补中的应用尝试  

Inguinal Hernia Repairs with Prolene Hernia System in Patients with Elevated Intraabdomenal Pressure

作　　者：周玮[1] 尹华[1] 张辉[1] 卢爱国[1] 

机构地区：[1]同济大学附属东方医院普外科,上海200120

出　　处：《中国临床医学》2005年第2期237-238,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨腹股沟疝合并腹内压增高疾病的修补方法.方法:对2001年3月～2003年6月收治的62例合并腹内压增高疾病的腹股沟疝病例,应用普理灵疝装置进行修补,并随访观察其疗效.结果:所有病例手术均顺利完成,平均手术时间56min.术后2例出现患侧阴囊积液、1例切口硬结、1例出现轻度肝性脑病.4例均经对症处理后缓解.随访8～36个月,1例因肝硬化、门脉高压合并上消化道出血、肝功能衰竭于术后13个月死亡;2例分别于术后9个月和20个月出现对侧新发疝,予以再次手术修补.所有病例修补后无一例复发.结论:普理灵疝装置可作为腹股沟疝合并腹内压增高病例疝修补的一种选择,近期随访疗效满意,长期疗效有待进一步随访.Objective: To evaluate the modality of inguinal hernia repair in patients with elevated intraabdomenal pressure. Methods: 62 patients with elevated intraabdomenal pressure and inguinal hernia were treated by prolene hernia system. Results: All the repairs completed successfully, average repairs time was 56 minutes. 4 cases were relieved after cause treatment,After 8 to 36 months follow-up, all the repairs didn′t hernia relapse; But 1 patient with liver cirrhosis and elevated portal vein pressure died of upper digestive tract bleeding 13 months after the operation. 2 patients received re-repairs because of new hernia in the opposite 9 and 20 months after the operation, respectively. Conclusion:Prolene hernia system can be used as a treatment of choice for inguinal hernia repair in patients with elevated intraabdomenal pressure. The effect of short term follow-up was satisfied. The effect of long term follow-up should be studied further.

关 键 词：腹内压增高 疝修补 疾病 普理灵疝装置 2003年6月 腹股沟疝 平均手术时间 轻度肝性脑病 上消化道出血 2001年 肝功能衰竭 修补方法 随访观察 切口硬结 对症处理 门脉高压 手术修补 近期随访 长期疗效 病例 出现 术后 肝硬化 

分 类 号：R656[医药卫生—外科学] R656.2[医药卫生—临床医学]