无张力疝修补术治疗腹股沟疝136例体会  

Experience on the treatment of 136 patients with tension-free hernia repair of inguinal hernia

作　　者：龚江波[1] 王亦农[1] 

机构地区：[1]湖北秭归县医疗中心普外科,443600

出　　处：《中华疝和腹壁外科杂志（电子版）》2008年第1期55-56,共2页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨无张力疝修补术在腹股沟疝中的临床应用方法及价值。方法自2002年3月至2007年3月应用意大利HERNIAMESH公司赫美平片治疗腹股沟疝136例，观察手术时间、伤口疼痛、并发症及复发率。结果手术全部成功，平均时间50min，20例伤口轻度疼痛，9例出现阴囊积液，伤口感染1例，术后5～7d治愈出院。随访36—48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，具有创伤小，痛苦小，恢复快，复发率低等优点，但应遵循一定的手术操作规范。Objective To explore the clinical methods and values of the tension-free hernia repair of inguinal hernia in patients. Methods From March 2002 to March 2007,136 inguinal hernia patients were treated by tension-free hernia repair with rmesh offered by HERNIAMESH company in Italy. The operation time, postoperative wound pain, complication and recurrence rates were observed. Results 136 cases were cured. The mean operative time was 50 mins. There were 20 cases of wound pain, 9 cases of scrotal hydrops and 1 case of wound infection. The patients were cured in 5 to 7 days after operation. All the cases were visited after operation from 36 to 48 months and no recurrent cases was found from operation until now. Conclusion Tension-free hernia repair is a perfect surgical operation for inguinal hernia. It has slight pain, small wound, quick recovery and a low rate of recurrence. A strict operation must be correctly used to prevent complication and rise cure of tension-free hernia repair.

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]