无张力修补腹股沟滑疝  

Repair for inguinal sliding hernia with tension-free hernioplasty

作　　者：孙荣勋[1] 陈江[1] 俞建平[1] 张华云[1] 石长青[1] 章勇[1] 李吉[1] 陈润浩[1] 顾超[1] 秦春枝[1] 

机构地区：[1]复旦大学附属金山医院普外科,上海200540

出　　处：《上海医学》2011年第11期866-868,共3页Shanghai Medical Journal

摘　　要：目的通过复旦大学附属金山医院近10年来的手术病例,总结滑疝的治疗经验和教训。方法回顾复旦大学附属金山医院2001—2010年滑疝手术病例的临床资料,其中盲、结肠滑疝6例,膀胱滑疝3例,滑出脏器分别采用"滑回"法、Bevan法或"塞回"法回纳后,加用网塞、Lichtenstein或Bassini修补。结果发生结肠损伤2例,膀胱切开1例。膀胱切开和1例结肠损伤患者术后恢复良好,另1例结肠损伤患者术后行结肠造口。1例于术后半年内复发。结论术中早期辨识滑疝是避免损伤发生的重要因素,"滑回"法结合Lichtenstein修补处理滑疝符合生理解剖。Objective To summarize the treatment experience of inguinal sliding hernia by retrospectively analyzing 10-year cases in our hospital. Methods Nine patients with inguinal sliding hernia from 2001 to 2010 were retrospectively studied. There were 6 cases of sliding cecum or colon and 3 cases of sliding bladder. The sliding viscera were induced by Slide Back, Bevan, or Plug Back methods. Then Rutkow, Lichtenstein, or Bassini techniques were used to repair the defects. Results There were 2 cases of bowel injury and one case of bladder injury. One patient with sliding hernia had not been found during the operation, and he received colostomy because of colon perforation resulting from suture or ligation on the intestine wall in the first operation. The other two patients got recovery smoothly. There was one recurrence half a year postoperatively. Conclusion Early detection of sliding hernia is important to avoid viscus injury. Slide Back method for inducing sliding viscus combined with Lichtenstein tension-free repair correspond with physical anatomy.

关 键 词：腹股沟滑疝 疝修补术 网片 

分 类 号：R656.2[医药卫生—外科学]