局麻下改良Kugel补片在老年腹股沟疝修补术中的应用体会  

Experiences of Modified Kugel Patch under Local Anesthesia in Senile Inguinal Hernia Repair

作　　者：尚宏清[1] 贾利猛 马向涛[1] 欧云崧 余力伟[1] 

机构地区：[1]北京市海淀医院

出　　处：《世界中西医结合杂志》2011年第2期148-150,共3页World Journal of Integrated Traditional and Western Medicine

摘　　要：目的评价改良Kugel补片在老年腹股沟疝无张力修补术中应用的安全可靠性。方法回顾分析2005年9月至2010年3月,我院对286例老年腹股沟疝患者应用改良Kugel补片在局麻下行324例无张力疝修补术,观察手术时间、住院时间和术后近远期并发症发生率。结果本组手术时间单侧平均41 min,双侧平均84 min,所有患者均于术后1~5 d痊愈出院,平均住院时间为3.8 d。发生切口明显疼痛3例,阴囊血肿1例。全组未出现缺血性睾丸炎、切口感染、尿潴留等术后并发症。244例（85.3%）获得随访,随访时间3~52个月,无复发。结论局麻下改良Kugel补片在治疗老年腹股沟疝的临床应用中,具有安全、舒适、恢复快、并发症少、复发率低等优点,值得推广。Objective To assess the safety and reliability of modified Kugel patch in tension free repair of senile inguinal hernia.Methods By retrospective analysis of the cases from September 2005 to March 2010,it was found that 324 cases of tension free hernia repair were conducted with modified Kugel patch under local anesthesia for 286 cases of senile inguinal hernia in our hospital.The time of operation,time of admission,and the incidence of complications in short-term and long-term after operations were observed.Results The average time of operation in the group was 41min for unilateral repair and was 84min for bilateral repair.All of the patients were discharged after curing in 1 to 5 days after operation,and the average admission time was 3.8 days.There were 3 cases with apparent incision pain and 1 case with scrotum hematoma.There were no postoperative complications as ischemic orchitis,incision infection,urine retention and others in the whole group.244 cases（85.3%）were under the follow-up visit for 3 to 52 months,with no case of recurrence reported.Conclusion The modified Kugel patch in the repair of senile inguinal hernia under local anesthesia is characterized as safety,convenience,quick recovery,less complications and lower incidence of recurrence in clinical practice and deserves to be promoted.

关 键 词：腹股沟疝 改良KUGEL补片 无张力疝修补术 

分 类 号：R656.21[医药卫生—外科学]