腹股沟疝注射治疗后手术问题探讨  

Impacts of previous injection therapy in patients undergoing inguinal hernioplasty

作　　者：王荫龙[1] 姚伯元[1] 田正刚[1] 王西墨[1] 

机构地区：[1]天津市人民医院疝外科,天津300120

出　　处：《外科理论与实践》2008年第6期575-577,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:评估注射治疗对手术治疗腹股沟疝的影响并探讨处理方法。方法:回顾性分析曾行注射治疗之102例病人(计109例次腹股沟疝,其中7例属双侧疝)行无张力疝修补术的临床资料。107例次采用Lichtenstein修补术,2例次因嵌顿疝炎性渗出较多而采用Bassini手术。结果:1例择期手术1周后复发而予再次手术;9例次发生血肿或浆液肿,5例次切口感染。73例次采用局部麻醉者,16例次麻醉效果欠佳。术后产生并发症者16例次(14.68%)。结论:对于有注射治疗史的病人,术前应该充分估计组织结构变性和瘢痕粘连程度、不宜常规采用局部麻醉。Objective To evaluate the impacts of previous injection therapy in patients undergoing inguinal hernioplasty. Methods The clinical data from 102 patients undergoing tension-free inguinal hernioplasty, with a history of previous injection therapy, were analyzed retrospectively; 7 of the patients had bilateral hernia. Of these 109 hernias, 107 were submitted to the Liehtenstein procedure, and the other 2 with hernia strangulation underwent the Bassini repair. Results One patient underwent reoperation due to hernia recurrence one week postoperatively. Nine patients developed hematoma or seroma after hernioplasty, and 5 cases developed surgical site infection. Local anesthesia was used in 73 patients, among which 16 cases did not reach satisfactory pain control. The rate of postoperative complication（s） was 14.68% （16/109）. Conclusions Local anatomic structure deformation and scar formation should be thought of and evaluated before hernioplasty for patients with a history of previous injection therapy; and local anesthesia is not suitable for these patients.

关 键 词：疝 腹股沟 硬化疗法 疝修补术 

分 类 号：R656.24[医药卫生—外科学]