超普疝装置与腹腔镜下腹膜前间隙腹股沟疝修补术后血肿差异分析  

Comparison of ultrapro hernia system operation with laparoscopic totally extraperitoneal inguinal hernia repair on the occurrence of postoperative hematoma

作　　者：朱雷明[1] 高淳[1] 周欣峰[1] 朱建斌[1] 金志伟[1] 龚亦群[1] 顾永刚[1] 钱文良[1] 郑敏[1] 

机构地区：[1]上海市长宁区中心医院普外科,200336

出　　处：《中华疝和腹壁外科杂志（电子版）》2011年第3期47-49,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨应用超普疝装置(UHS)的手术和腹腔镜下腹膜前间隙腹股沟疝修补术(TEP)后血肿发生的差异。方法对同期采用UHS的15例患者和接受TEP手术的20例患者进行随访,比较血肿的发生率,血肿部位的差异。结果 UHS组术后发生阴囊血肿1例,TEP组发生阴囊血肿1例,直疝假疝囊血肿1例,腹壁穿刺孔周围血肿1例。经穿刺抽液或皮硝外敷后均痊愈。结论采用UHS和TEP手术后血肿的发生率差异无统计学意义,但是TEP术后易发生血肿的部位更多。Objective To explore the difference of the postoperative hematoma occurrence between the operation using Ultrapro Hernia System and laparoscopic totally extraperitoneal inguinal hernia repair. Methods 15 cases of patient using UHS and 20 cases of patient accepting TEP in the same period. The difference of hematoma occurrence and hematoma position were compared. Results There was one scrotum hematoma in UHS group, while in TEP group, there were one case of scrotum hematoma, one case of pseudohernia sac hematoma of direct inguinal hernia, and one case of hematoma around trocar position. All patients acquired fully recovery after needle aspiration drainage or applying natrii sulfas. Conclusions The difference between the UHS and TEP group on the occurrence of postoperative hematoma had no statistical significance, however there were more positions likely to develop hematoma after TEP operation.

关 键 词：疝 腹股沟 腹腔镜 疝修补术 超普疝装置 

分 类 号：R656.2[医药卫生—外科学]