开放式完全腹膜外腹股沟疝修补术治疗腹股沟疝84例  

Open Total Extraperitoneal Herniorrhaphy in Inguinal Hernia Repair:a Report of 84 Cases

作　　者：邓俊晖[1] 陈超[1] 魏秀文[1] 李德祥[1] 黄学军[1] 黄志勇[1] 

机构地区：[1]惠州市中心人民医院胃肠外科,广东惠州516001

出　　处：《南昌大学学报（医学版）》2010年第10期76-78,共3页Journal of Nanchang University：Medical Sciences

摘　　要：目的总结开放式完全腹膜外腹股沟疝修补术的临床经验,探讨其临床运用价值。方法回顾性分析84例腹股沟疝病人行开放式完全腹膜外腹股沟疝修补手术的临床资料。结果 84例病人共行手术108例次。手术时间30~110 min（平均单侧45 min,双侧70 min）,平均住院时间4.8 d,均治愈出院。出现阴囊血肿或血清肿2例,切口脂肪液化1例,术后腹股沟区慢性疼痛1例,均经对症处理后治愈。84例病人均随访4~34个月无复发。结论开放式完全腹膜外腹股沟疝修补术具有安全可靠、操作简单便捷、费用低、术后疼痛轻及舒适感强等优点,是一种有效的腹股沟疝修补方法。Objective To summarize the clinical experience with open total extraperitoneal herniorrhaphy and to explore the value for inguinal hernia repair.Methods The clinical data of 84 patients with inguinal hernia who underwent open total extraperitoneal herniorrhaphy were retrospectively analyzed.Results A total of 108 open totally extraperitoneal herniorrhaphy were performed in 84 patients.The mean operative time was 45 minutes for unilateral hernia and 70 minutes for bilateral hernia（range 30 to 110 minutes）.The mean duration of hospital stay was 4.8 days.Among the 84 patients,scrotum hematomas or seromas occurred in 2 cases,wound fat liquefaction in 1 case,and inguinal pain in 1 case.All patients were cured and discharged from hospital.After 4 to 34 months of follow-up,no recurrence occurred in these patients.Conclusion Open totally extraperitoneal herniorrhaphy is a safe,simple and effective method for inguinal hernia repair,and can reduce operating costs and relieve postoperative groin pain.

关 键 词：疝 腹股沟 外科手术 无张力疝修补术 后入路 

分 类 号：R656.2[医药卫生—外科学]