Lichtenstein手术治疗腹股沟疝临床经验(附单中心5795例报告)  

Lichtenstein procedure for inguinal hernia: a single center experience of 5 795 cases report

作　　者：王荫龙[1] 张新[1] 谢加东[1] 

机构地区：[1]南开大学天津市人民医院疝和腹壁外科,天津300121

出　　处：《外科理论与实践》2013年第3期218-223,共6页Journal of Surgery Concepts & Practice

摘　　要：目的:研究总结Lichtenstein无张力疝修补术治疗腹股沟疝的结果和临床经验。方法:2004年9月至2011年9月期间,对5 270例腹股沟疝病人实施了5 795例次Lichtenstein手术。术后随访2年,对术后并发症发生的危险因素进行分析。结果:术后2年随访率为82.2%,最终分析4 332例病人的4 763例次Lichtenstein手术。腹股沟疝病人平均术后住院(1.2±1.6)d,慢性疼痛发生率为0.31%,切口感染率2.10%,术后复发率为0.15%。结论:Lichtenstein手术治疗腹股沟疝效果良好,术后病人痛苦少且复发率低。Objective To evaluate Lichtenstein tension-free hemiorrhaphy and summarize the clinical experience in the treatment of inguinal hernia. Methods We retrospectively analyzed clinical data of 5 795 tension-free inguinal hernia repairs performed on 5 270 patients using a polypropylene mesh （Lichtenstein technique）during Sep 2004 to Sep 2011. Data were collected on an intention-to-treat basis. Tests was used to analyze potential risk factors for postoperative complications. Results The average hospitalization was （1.2±1.6） days. The chronic pain rate was 0.3% and the recurrence rate was 0.15%. Conclusions The Lichtenstein repair for the treatment of inguinal hernia has the advantage of less postoperative pain and low recurrence.

关 键 词：腹股沟疝 LICHTENSTEIN手术 无张力疝修补术 

分 类 号：R656.21[医药卫生—外科学]