Lichtenstein无张力疝修补术的临床应用  

Lichtenstein tension-free hernia repair clinical application

作　　者：赵峰[1] 罗季阳[2] 何长江[2] 

机构地区：[1]射洪县中医院外科,四川射洪629200 [2]射洪县中医院普外科,四川射洪629200

出　　处：《临床和实验医学杂志》2010年第7期511-513,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨用聚丙烯网片,采用Lichtenstein术式在成年人腹股沟无张力疝修补术中的优点、并总结经验教训。方法采用德国蛇牌集团公司的聚丙烯网片对312例腹股沟疝病人施行Lichtenstein无张力疝修补术,观察手术时间,伤口疼痛,术后自主能力恢复,并发症及复发率。结果手术时间平均为50min;术后3～4h病人能下床活动;伤口疼痛时间2～3d。术后切口血肿3例,无一例切口感染。腹股沟异物感10例。术后随访238例6个月至4年,无一例复发。结论Lichtenstein无张力疝修补术操作简单,术后恢复迅速,并发症极少,复发率低,疗效肯定,手术指征可适当放宽,是近年较先进的一种无张力疝修补术式。Objective To investigate the use of polyprnpylene mesh used in surgical procedures for adults Lichtenstein tension - free in- guinal hernia repair in the benefits and lessons Learned. Methods Group of Germany snake licensing polypropylene mesh of 312 cases of inguinal hernia patients Lichtenstein tension - free hemia repair, to observe surgery, wound pain, after the resumption of autonomy, complications and re- currence rate. The outcome of surgery for an average of 50 min ; after 3 - 4 h patients can get out of bed activities ; wound pain time 2 ~ 3 d. 3 cases of hematoma ＇after incision, no case of wound infection. 10 eases foreign body groin flu. Follow -up 238 cases of 0.5 ~ 4.0 years, with 1 case of relapse. Conclusion Lichtenstein tension - free hernia repair is simple, rapid postoperative recovery, and very few complications, and re- currence rate of low efficacy of certain surgical indications may be appropriate to relax, is more advanced in recent years, a tension -free hernia re- pair operation.

关 键 词：腹股沟疝 聚丙烯网片 LICHTENSTEIN术式 

分 类 号：R656.2[医药卫生—外科学]