开放式TEP修补腹股沟疝(附80例报告)  

Opening total extraperitoneal heniorrhaphy repair of inguinal hernia:a report of 80 cases

作　　者：严命熔[1] 林琛[1] 熊克辉[1] 

机构地区：[1]福建省福鼎市医院普外科,355200

出　　处：《中国实用医药》2011年第33期34-35,共2页China Practical Medicine

摘　　要：目的探讨开放式TEP无张力修补腹股沟疝的手术疗效。方法对80例腹股沟疝患者采用开放式TEP术式行无张力修补方法,统计患者手术时间、住院天数、平均恢复正常活动时间以及近、远期并发症和术后不适等指标,以评价开放式TEP术式修补腹股沟疝的疗效。结果 80例患者术后均恢复良好,手术耗时平均42min,平均住院时间4.1d,恢复正常活动时间6.2d,尿潴留1例(1.25%),术后腹股沟区痛1例(1.25%),术后血清肿2例(2.5%),2个月后自行吸收,术后无阴囊水肿、切口感染、神经感觉异常、缺血性睾丸炎,术后随访2～3年无复发。结论开放TEP修补腹股沟疝可明显减少各种并发症和术后不适的发生率,手术简单,疗效肯定,值得在基层医院推广应用。Objective To evaluate the clinical experiences of opening total extraperitoneal heniorrhaphy repair of inguinal hernia for inguinal hernia.Methods 80 opening total extraperitoneal heniorrhaphy repair of inguinal hernia were performed on 80 patients with inguinal hernia.To statistics the operation time,admission day,the average time to resume normal activities and the recent/long-term operative complications and postoperative discomfort Results The operations were completed successful.The means of the operation lasting was 42 minutes.The means of the hospital stay was 4.1 days.The average time to resume normal activities was 6.2 days.In the present series,there was 1 case of urinary retention（1.25%）,1 case of postoperative pain（1.25%）,2 cases of serum swelling（2.5%）,the well obserbded after two months,no scrotal edema,wound infection,sensory abnormalities or ischemic testitis were found.The patients were followed up for 2 to 3 years,with no case of recurrence encountered.Conclusion Opening total extraperitoneal heniorrhaphy repair can significantly reduce the complications and the incidence of postoperative discomfort,being more effective,and worth while clinical use.

关 键 词：腹股沟疝 外科手术 无张力修补术 完全腹膜外腹股沟疝修补 

分 类 号：R656.2[医药卫生—外科学]