疝环充填式无张力疝修补术治疗老年腹股沟马鞍疝的疗效观察  

Effectiveness of the plug and mesh tension-free hernioplasty in the treatment of inguinal saddle hernia of old patients

作　　者：李三荣[1] 郑启昌[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院普外科

出　　处：《华中医学杂志》2007年第4期290-291,共2页Central China Medical Journal

摘　　要：目的评价疝环充填式无张力疝修补手术治疗腹股沟马鞍疝的疗效。方法32例腹股沟马鞍疝采用聚丙烯疝环充填物及成型补片进行无张力修补治疗,回顾统计手术时间、术后切口疼痛、住院时间、并发症及复发率。结果单侧疝及双侧疝平均手术时间分别为35min、70min。术后并发症为会阴腹股沟区疼痛1例,无切口感染,无围手术期死亡,患者均于术后3～7天痊愈出院,术后随访1～3年,无术后复发。结论采用疝环充填式无张力疝修补术治疗腹股沟马鞍疝是安全的,其并发症少,复发率低;对双侧腹股沟马鞍疝的患者可同期进行手术,避免再次手术。Objective To evaluate the therapeutic efficacy of plug and mesh tension-free hernia repair in inguinal hernia Methods The clinical data of 32 cases of inguinal hernias undergoing hernioplasty with BardR Mesh ＆PerFixR plug manufactured by Bard Company in USA were retrospectively analyzed. The operating time, postoperative pain, recovery of independence, hospital stay, postoperative complications, and recurrent rate were observed. Results Thirty-two cases （44 times） were subjected to mesh plug tension-free hernioplasty. The average operating time in unilateral and bilateral hernias was respectively 35 min and 70 min, Postoperative complications included pain in the groin in one case. No wound infection and mortality occurred. All patients were discharged 3 - 7 days after operation. All cases were followed up for 1 to 3 years. During the followup there was no recurrence. Conclusion Plug and mesh hernioplasty for the treatment of inguinal hernia and simultaneous bilateral repair for the patients with bilateral inguinal hernias are safe and reliable methods. Individualized operation for hernia is beneficial to obtain better therapeutic effect and reduce recurrent rate.

关 键 词：腹股沟疝 无张力 疝修补术 

分 类 号：R656.21[医药卫生—外科学]