腹膜前间隙聚丙烯单层补片修补腹股沟疝257例分析  

Clinical analysis of preperitoneal inguinal hernioplasty with monolayer polypropylene mesh in 257 cases

作　　者：李小强[1] 周予民[1] 任建强[1] 潘炯[1] 盛宇伟[1] 

机构地区：[1]上海市第一人民医院宝山分院普外科,200940

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第2期60-63,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨应用聚丙烯单层补片经腹膜前间隙修补腹股沟疝的临床疗效。方法回顾性分析2007年1月至2011年12月上海市第一人民医院宝山分院2007年1月至2011年12月经腹膜前间隙修补腹股沟疝的257例患者临床资料。结果手术时间30～70min,平均47min。术后切口疼痛9例(3.50%),阴囊水肿6例(2.33%),皮下淤血(瘀斑)7例(2.72%),尿潴留6例(2.33%),肺部感染4例(1.56%),异物感1例(0.39%),腹股沟区慢性疼痛2例(0.78%),无睾丸萎缩、术后射精痛、术后感染病例,257例患者均无复发。结论聚丙烯单层补片经腹膜前间隙修补腹股沟疝是一种安全有效的方法,具有创伤小、恢复快、并发症少、复发率低的特点。Objective To evaluate the effect of preperitoneal inguinal hernioplasty with monolayer polypropylene mesh. Methods The clinical data of the 257 patients who were performed preperitoneal ingui- nal hernioplasty in Shanghai First People＇s Hospital Baoshan Branch were analyzed retrospectively. Results All patients were recovered and the operation time was 30 to 70 minutes with a mean of 47 minutes. Postoper- ative ineisional pain occurred in 9 cases （3.50%）, hydrocele in 6 cases （2.33%）, subcutaneous congestion in 7 cases（2.72% ） ,urinary retention in 6 cases（2.33% ） ,pulmonary infection in 4 cases（ 1.56% ） ,foreign body sensation in 1 case（0.39% ） and inguinal regional chronic pain in 2 cases（0.78% ）. No infection ,her- nia recurrence, testis cular atrophy, and pain during ejeculation had been observed. Conclusions Preperito- neal inguinal hemioplasty with monotayer polypropylene mesh has demonstrated a safe and effective technique with strengths of minimal invasion, quick rehabilitation, fewer complications and lower recurrence rate.

关 键 词：疝 腹股沟 手术后并发症 聚丙烯类 

分 类 号：R656.2[医药卫生—外科学]