经腹股沟切口单纯腹膜前修补腹股沟疝的治疗体会  

Experience of preperitoneal inguinal hernioplasty through an inguinal incision

作　　者：蔡昭[1] 唐健雄[1] 黄磊[1] 陈革[1] 李亿程[1] 袁祖荣[1] 

机构地区：[1]复旦大学附属华东医院普外科疝和腹壁外科治疗和培训中心,上海200040

出　　处：《外科理论与实践》2008年第6期531-533,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨经腹股沟切口单纯腹膜前修补治疗腹股沟疝的方法要领及其优点。方法:回顾性总结、分析自2005年3月至2008年3月间所作之230例经腹股沟切口单纯腹膜前修补治疗腹股沟疝的经验。结果:本组230例,包括Ⅰ型疝60例,Ⅱ型疝136例,Ⅲ型34例;内213例得到随访,随访率为92.6%,随访时间3～15个月,平均7.8个月。术后发生阴囊水肿1例,皮下淤血2例。未发现有感染、复发、腹股沟区慢性疼痛、睾丸萎缩、射精痛等并发症发生。结论:经腹股沟切口单纯腹膜前修补治疗腹股沟疝,能使补片完全覆盖耻骨肌孔,加强腹横筋膜,从而完全治愈腹股沟疝,并防止复发,是一种有效的无张力修补方法。实践证明,此方法创伤小,术后恢复快,舒适度高,符合当今疝外科的要求。Objective To discuss the technique and merits of the preperitoneal inguinal hernioplasty through an inguinal incision. Methods Summarizing the experience of 230 cases of preperitoneal inguinal hernioplasty through an inguinal incision, during the period from March 2005 to March 2008. Results Among these 230 cases of inguinal hernia, there were 60 cases belonging to type I, 136 cases to type Ⅱ, and 34 cases to type III. The follow-up rate was 92.6% （213/230）, with an average follow-up duration of 7.8 months （3-15 months）. Hydrocele occurred in 1 cases and subcutaneous congestion occurred in 2 cases. No infection, hernia recurrence, chronic pain in the inguinal region, testis cular atrophy, and pain during ejeculation had been observed. Conclusions Preperitoneal inguinal hernioplasty through an inguinal incision has demonstrated its merits of minimal invasion and quick rehabilitation.

关 键 词：疝 腹股沟 疝修补术 方法 

分 类 号：R656.24[医药卫生—外科学]