146例马鞍疝诊治体会  

Diagnosis and treatment of saddle hernia in 146 cases

作　　者：谭社荣 陈杰[2] 申英末[2] 

机构地区：[1]怀柔区第一医院外科,北京101400 [2]首都医科大学附属北京朝阳医院疝和腹壁外科

出　　处：《中华疝和腹壁外科杂志（电子版）》2011年第2期18-20,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨腹股沟马鞍疝的诊断及手术方法。方法统计我中心146例腹股沟马鞍疝患者临床资料,分析马鞍疝的术中诊断及手术步骤。结果 146例患者术后恢复顺利,除2例巨大斜疝出现阴囊浆液肿外,其余144例未出现并发症,随访6～24个月,没有疝复发,疗效满意。结论在行腹股沟疝修补术时,常规探查腹股沟管后壁,以便正确得出马鞍疝的诊断;马鞍疝的治疗应该行腹膜前间隙修补。Objective To explore the diagnosis and surgical method of saddle hernia.Methods Statistics the clinical informations of 146 cases with saddle hernia were retrospectively analysed.Results All cases have recovered successfully,two patients with huge inguinal hernia appeared the scrotum seroma,other 144 cases without any complications.Follow-up time was from 6 to 24 months,no recurrence of inguinal hernia was observed.Conclusions Conventional detection of the posterior wall of inguinal canal,in order to diagnose of saddle hernia correctly,and the treatment of saddle hernia should do preperitoneal tension-free hernia repair.

关 键 词：马鞍疝 腹股沟疝修补术 诊治 术中诊断 腹股沟管后壁 腹膜前间隙 手术方法 临床资料 

分 类 号：R656.21[医药卫生—外科学]