无张力疝修补术在腹股沟疝治疗中的应用  

Application of tension-free hernia repair to inguinal hernia

作　　者：周卓明[1] 王琦[1] 

机构地区：[1]淮南市第一人民医院普外科,安徽省淮南232001

出　　处：《中国基层医药》2008年第9期1463-1464,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨无张力疝修补术在腹股沟疝治疗中的临床应用价值。方法2004年1月至2007年12月应用无张力疝修补术治疗腹股沟疝患者181例（共188侧），应用美国巴德公司生产的网塞及补片作为疝修补材料行腹股沟疝修补术（包括原发性斜疝129例，其中双侧7例；原发直疝4例，其中1例为斜直疝并存疝，1例双直疝合并右斜疝；股疝3例；复发疝9例。观察手术时间、伤口疼痛天数、术后下床活动时间、并发症及复发率。结果手术均告成功，平均手术时间（单侧）约50min，6例术后出现尿潴留，3例出现阴囊积液，3例术后有异物感。术后平均7d出院，随访3—36个月未见复发病例。结论无张力疝修补术是治疗腹股沟疝的理想术式，具有手术简单、创伤痛苦小、术后恢复快、近期疗效满意和复发率低等优点，手术方式依类型可按“个体化”方案。Objective To evaluate clinical value of tension-free hernia repair in inguinal hernia. Methods The clinical data of 181 patients with 188 inguinal hernia were treated with tension-free hernia repair,Mesh plug-patch were used in the operations. The operative procedure, postoperative pain, patient ability recovery, complications and recurrence rate were studied. Results All cases operated successfully. The mean operation time was 50min. The postoperative complications were 6 cases of urinary retention and 3 cases of scrotal hydroceles. Local hematoma appeared in 5 cases. 3 cases complained of foreign body feeling. The average postoperative stay was 7 days. The follow-up period ranged from 3 to 36 months and no recurrence was observed. Conclusions Tension-free hernia repair is a perfect surgical operation for the inguinal hernia. It has many advantages, such as simplicity, minimal invasion ,less postoperative pain, rapid recovery, good recent therapeutic effect and lower recurrence. The operation type should be individualized.

关 键 词：无张力疝修补术 腹股沟疝 临床分析 治疗方法 

分 类 号：R656[医药卫生—外科学]