国内成人腹股沟疝手术治疗的发展现状  

Current situation of adult inguinal hernia repair in China.

作　　者：邹冰子[1,2] 隋峭崎[3] 隋梁[1] 李亮[1] 刘铮[1] 

机构地区：[1]北京大学深圳医院胃肠外科,广东深圳518036 [2]汕头大学医学院,广东汕头515041 [3]中山大学中山医学院,广东广州510080

出　　处：《海南医学》2013年第17期2600-2602,共3页Hainan Medical Journal

摘　　要：目的探讨国内成人腹股沟疝治疗的发展现状。方法检索近5年国内发表的关于腹股沟疝手术治疗的文献,统计其术式、例数、医院等级等信息,并进行分析。结果技术要求较低且较早推广的Rutkow/Millikan手术开展例数最多,各级医院均有开展,占所统计手术例数的55.30%;技术要求不高的Lichtenstein手术占22.42%,主要开展于二级医院;技术要求高的腹腔镜腹股沟疝无张力修补术及Gilbert手术分别占8.80%、4.21%,主要集中于经济较发达地区的三级医院。其他各种术式均有开展,例数不等,开展医院分散。结论国内腹股沟疝手术的开展术式在总体上受技术推广及经济因素的影响。Objective To explore the current situation of adult inguinal hernia repair in China. Methods We searched the literatures about inguinal hernia repair in the past 5 years, collected the information of method of ingui- nal herniorrhaphy, examples, hospital grade, and analyzed the information above. Results Rutkow/Millikan hernior- rhaphy, which is low-technique required and early-promoted, is the most widely performed in every grade hospital, ac- counting for 55.30%. Lichtenstein herniorrhaphy accounted for 22.42%, which is mainly performed in grade 2 hospi- tal. Otherwise, high-technique required inguinal herniorrhaphy as laparoscopic ventral hernia repair （LVHR） and Gil- bert herniorrhaphy accounted for 8.80%, 4.21%, respectively, mainly performed in grade 3 hospital. Other styles of herniorrhaphy were carded out with its different characteristics. Conclusion The development of inguinal hernia re- pair is affected by method of inguinal herniorrhaphy promotion and economy factor.

关 键 词：腹股沟疝修补术 发展现状 医院等级 

分 类 号：R656.21[医药卫生—外科学]