前入路腹膜前修补腹股沟疝应用体会  

Modified Kugel patch anterior preperitoneal repair of inguinal hernia

作　　者：沈阳[1] 徐瀚斌[1] 吕仁更[1] 何小军[1] 

机构地区：[1]湖北省新华医院普外科,湖北武汉430015

出　　处：《中国实用外科杂志》2013年第9期784-786,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨前入路腹膜前修补腹股沟疝效果及手术体会。方法回顾性分析2008年3月至2012年10月期间湖北省新华医院采用改良Kugel补片施行腹股沟疝无张力修补术280例病人的临床资料。观察手术时间、伤口疼痛、住院时间、并发症及复发率。结果手术时间35～65min，平均45min。术后1d下床活动，术后10例使用止痛荆，术后住院时间3～5d。全组切口一期愈合，无感染发生，12例阴囊水肿，2例切口周围有发绀（紫绀）。随访半年至3年无不适，仅1例复发。结论针对于解决耻骨肌孔结构薄弱及缺损这一腹股沟疝发生的解剖学基础，改良Kugel腹股沟疝修补技术是目前腹股沟疝治疗中较理想的手术方式。Objective To explore the effect and experience of modified Kugel patch anterior preperitoneal repair of inguinal hernia. Methods The clinical data of 280 cases of modified Kugel patch anterior preperitoneal tension-free repair of inguinal hernia performed from March 2008 to October 2012 in Hubei Xinhua Hospital were analyzed retrospectively. The operation time, wound pain, hospitalization time, complications and recurrence rate were studied. Results The operation time was 35-65min, and the average was 45min. Out of bed activity occurred in postoperative 1 day. Ten cases used analgesics postoperatively. Postoperative hospitalization time was 3-5 days. The whole group of incision was primary healing without infection. There were 12 cases of scrotal edema and 2 cases of cyanosis around incision. During the follow-up of 6 months to three years no complaints occurred and recurrence occurred in 1 case. Conclusion Because the weak and defective pectineus pore structure is the anatomic cause of inguinal hernia, the modified Kugel technique for inguinal hernia repair is the ideal mode of operation at present.

关 键 词：腹股沟疝 改良KUGEL 手术入路 

分 类 号：R6[医药卫生—外科学]