成人腹股沟疝个体化治疗的应用体会  

Individualized treatment for inguinal hernia

作　　者：张裕方[1] 梁海森[1] 杨南南[1] 雷振东[1] 

机构地区：[1]浙江省新昌县人民医院普外科,312500

出　　处：《中华疝和腹壁外科杂志（电子版）》2012年第1期8-10,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨个体化方案在腹股沟疝治疗中的可行性。方法对68例腹股沟疝患者进行术前评估,根据分型、分类、年龄、性别和全身情况,制定个性化治疗方案,分别采用Licht-enstein法(平片)、Rutkow法(疝环充填式)和Modified Kugel(简称M-K)以及UHS法(超普补片)进行无张力疝修补术,并对术后并发症、患者舒适度及术后复发情况进行随访观察,随访3～18个月。结果 68例手术均顺利,平均手术时间50min,平均住院时间5d。术后并发症发生率为7%,主要包括术后疼痛、异物感和阴囊血肿。术后复发1例,复发率1.4%。UHS法舒适度最佳(P<0.05),Lichtenstein法次之,Rutkow法相仿。结论腹股沟疝的治疗采取个体化方案能达到手术后不适感少、恢复快、并发症少和复发率低的现代疝治疗要求。Objective To discuss individualized treatment experience for inguinal hernia. Methods A retrospective study including 68 cases for analysis of hernia type, age, gender and general condition. A total of 3 to 18 months for follow-ups are included. Results Sixty-eight cases had satisfied operation results with mean operation time of 50 minutes, and mean hospitalization of 5 days. The incidence of post-operation complication was 7%, including pain, foreign body sensation and hematoma. One case was recurred with a relapse rate of 1.4%. The UHS method is the way that could be most acceptable by the patients following with the Lichtenstein method and could be similar to the Rutkow method. Conclusions Individualized treatment for inguinal hernia is safe and effective with the advantages of rapid recovery, less complication and low relapse rate.

关 键 词：疝 腹股沟 个体化治疗 疝修补术 无张力 

分 类 号：R656.2[医药卫生—外科学]