无张力疝修补术在腹股沟滑疝治疗中的应用  

Application of tension-free hernioplasty in treatment of sliding hernia

作　　者：聂向荣[1] 樊友本[2] 常绪生[1] 郑起[1] 吴卫东 

机构地区：[1]河北邯郸市中心医院,200233 [2]上海市第六医院 [3]上海市第一医院

出　　处：《中华疝和腹壁外科杂志（电子版）》2007年第1期36-38,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的评价无张力疝修补术在滑疝治疗中的疗效。方法回顾性分析我组2004年10月至2007年3月收治并行无张力疝修补术的21例滑疝的临床资料。结果21例均为男性斜疝患者,采用无张力疝修补法,其中Ⅱ型疝12例,Ⅲ型疝9例。用疝环充填式手术11例,kugel补片手术7例,PHS手术3例;组成疝囊壁盲肠者16例、膀胱者2例、乙状结肠者3例,均无术后并发症发生,顺利出院。随访3～24个月,平均15个月,无复发。结论无张力疝修补术应用于滑疝的治疗是安全有效的并且能减少术后复发及相应并发症。Objective To summarize the experience of tension-free hernioplasty in treatment of sliding hernia. Methods Twenty-one patients with sliding inguinal hernia underwent tension-free hernioplasty from October 2004 to March 2007 ,and their clinical data were analyzed retrospectively. Result All patients were men and belong in indirect inguinal hernias. 12 eases belonged in Ⅱ group and 9 in Ⅲ group. Caecum and bladder were the main saccular contents of hernia in the right and sigmoid colon or bladder in the left. Postoperative complications is nothing. No recurrence was found after 3-24 months follow-up. Conclusions Tension-free herniophasty for sliding hernia has the advantages of simple performance, less trauma, better therapeutic effect and low recurrence rate. Familiarity with the anatomy of the hernia is needed to avoid injury and reduce recurrence.

关 键 词：疝 腹股沟 外科手术 无张力疝修补术 

分 类 号：R656.2[医药卫生—外科学]