腹股沟疝传统修补术中提睾肌与精索内筋膜的应用体会  

The realization to the clinical application of the cremaster and internal spermatic fascia in inguinal hernioplasty

作　　者：何建文 马智勇 赵辉 许湘宁 黄秋岩 

机构地区：[1]佛山市第五人民医院,528200

出　　处：《中国实用医药》2011年第2期58-60,共3页China Practical Medicine

基　　金：2007年度佛山市医学科研立项课题

摘　　要：目的探讨利用提睾肌与精索内筋膜作修补辅助组织在传统腹股沟疝修补术中的可行性及临床应用价值。方法 2007至2010年对156例成年男性腹股沟疝施行Bassini、Halsted、Mcvay修补术时,均对提睾肌与精索内筋膜加以利用,术后对患者观察及随访。结果无切口感染、手术死亡、阴囊血肿、睾丸蒌缩及射精痛病例,腹股沟区灼痛1例,睾丸下垂1例,随访1/2～3年,复发2例。结论在施行成年男性腹股沟疝传统修补术时,进一步利用提睾肌与精索内筋膜是可行的,它对进一步加强腹股沟管后壁、降低复发机会具有一定的临床应用价值。Objective To investigate the possibility of using the cremaster and internal spermatic fascia as the auxiliary tissue and clinical application value in inguinal hernioplasty.Methods From 2007 to 2010,the cremaster and internal spermatic fascia were used in bassini,halsted,mcvay hernioplasty on 156 male inguinal hernia cases.Results The method had no incision infected,dead case,no hematocele,testis atrophy,ejaculatory pain case.Inguinal region pain（1 case）,testisptosis（1 case）,over a period of 1/2~3 years following-up,two case relapsed.Conclusion During operating traditional hemioplasty on male inguinal hernia,making the most use of cremaster and internal spermatic fascia is possible,which has an effective clinical value on decreasing the chance of recrudescence.

关 键 词：腹股沟疝 传统修补术 提睾肌 精索内筋膜 

分 类 号：R656.2[医药卫生—外科学]