腹股沟疝应用Lichtenstein术式421例体会  

The experience of Lichtenstein's tension free repair for inguinal hernia in 421 adult patients

作　　者：刘文[1] 邵永胜[1] 龚少敏[1] 彭开勤[1] 张应天[1] 

机构地区：[1]江汉大学附属医院普外科,武汉430015

出　　处：《腹部外科》2005年第6期331-332,共2页Journal of Abdominal Surgery

摘　　要：目的探讨成人腹股沟疝Lichtenstein术式的疗效.方法对我院自1996年12月～2003年12月421例各型腹股沟疝病人行462例次Lichtenstein术式无张力修补术的临床资料进行回顾性分析.结果本组有93%的病例得到随访,平均随访4年,仅有1例复发.本组病例术后疼痛轻微.术后发生局部血肿7例,伤口浅表感染4例.结论 Lichtenstein无张力修补术适用于各型成人腹股沟疝,术后疼痛轻微,复发率低.Objective To summarize the experience of Lichtenstein＇s procedure in adult patients with inguinal hernia. Methods The clinical data of 421 patients with variant types of inguinal hernia receiving 462 Lichtenstein＇s tension free repairs from Dec. 1996 to Dec. 2003 were analyzed retrospectively. Results 93% cases in this group were follow-up（average 4 years）. Only one patient recurred. The postoperative pain was mild. Local hematoma and super incision infection occurred in 7 cases and 4 cases respectively. Conclusion Lichtenstein＇s tension free repair is applicable to variant type of adult patients with inguinal hernia with mild postoperative pain and lower recurrent rate.

关 键 词：疝 腹股沟 聚丙烯类 抗生素预防 治疗结果 

分 类 号：R656.21[医药卫生—外科学] R614.42[医药卫生—临床医学]