无张力疝修补术在复发疝治疗中的应用体会  

Evaluation of tension-free hernia repair to recurrent inguinal hernia

作　　者：席广君[1] 张长银[1] 陈静辉[1] 阎峻[1] 禇爱中 

机构地区：[1]浙江省平湖市中医院外科,314200

出　　处：《中华疝和腹壁外科杂志（电子版）》2008年第2期14-16,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨无张力修补术在复发疝中的应用价值。方法对38例腹股沟复发疝修补术的临床资料进行回顾性分析。38例腹股沟复发疝中,男36例,女2例,年龄42～80岁,平均56岁。传统手术37例,其中Bassini术18例、Ferguson术17例、McVay术2例、无张力手术1例。第1次术后疝复发时间2个月至15年,平均52个月。再次手术方式均采用无张力修补术。其中疝环充填式33例,三合一补片式5例。结果术后8～10 d痊愈出院,术后出现4例急性尿潴留、2例阴囊积液、1例疼痛。全部患者随访2～14个月未见复发。结论无张力疝修补术应作为腹股沟复发疝的首选手术方式。Objective To discuss the value of tension-free hernia repair in recurrent inguinal hernia. Methods 38 patients with recurrent inguinal hernia underwent reoperation, clinical data collected included：there were36 males and 2 females; the primary surgery had been traditional herniorrhaphy without prothesis in 37 cases （including 18 cases of Bassini, 17 cases of Ferguson ,2 eases of MeVay） and 1 case of tension-free hernia repair; the interval from the initial surgery to recurrence was 2 months to 15 years, average 52 months; 38 cases with recurrent inguinal hernia were treated tension-free hernia repair including mesh plug-patch in 33 cases and prolene hernia system in 5 cases. Results All cases were operatied successfully. The average postoperative stay was 8 to 10 days, the postoperative complications were 4 case of urinary retentions,2 cases of scrotal hydrocele and 1 case of postoperative pain. The follow-up period ranged from 2 to 14 months and no recurrence was observed. Conclusion Tension-free hernia repair is the first therapy choice of patients suffering recurrent inguinal hernia.

关 键 词：疝 腹股沟 复发 无张力修补术 人工合成材料 

分 类 号：R656.2[医药卫生—外科学]