腹股沟疝开放式腹膜前间隙修补手术经验(附1176例报告)  

Experience of open pre-peritoneal hernioplasty:1 176 cases report

作　　者：张威浩[1] 岑刚[1] 邓标[1] 李旭[1] 吴卫东[1] 

机构地区：[1]上海交通大学附属第一人民医院普外科,上海200080

出　　处：《外科理论与实践》2014年第1期59-63,共5页Journal of Surgery Concepts & Practice

摘　　要：目的：总结我院腹股沟疝开放式腹膜前间隙修补术经验。方法：回顾性分析2002年1月至2011年12月行开放式前入路腹膜前修补术治疗腹股沟疝1176例临床资料。男1089例，女87例，平均年龄（64．5±23．2）岁，平均住院时间（4．1±2．5）d，随访4-24个月。手术方式为：Gilbert术484例，Kugel术78例，改良Kugel术451例，前入路腹膜前疝修补术163例。结果：术后发生近期并发症（术后3个月内）43例（3．6％）；远期并发症（术后3个月以上）16例（1．4％）。各术式术后疼痛评分无统计学差异。结论：腹膜前无张力修补术安全、可靠，并发症发生少、恢复快、复发率低。Objective To summarize the experience of open pre-peritoneal hernioplasty. Methods A retrospective analysis was performed on clinical data of 1 176 cases of open pre-peritoneal hernioplasty from January 2002 to December 2011 in our hospital. There were 1 089 male and 87 female with an average age of （64.5±23.2） years old. The hospital stay time was （4.1±2.5） d. The followed-up time was 4-24 months. There were 484 cases with Gilbert＇s method, 78 cases with Kugel＇s method , 451 cases with modified Kugel＇s method and 163 cases with open pre-peritoneal hernioplasty. Results Forty-three cases （3.6%） had post-operative complications in the period of 3 months. Long-term complications occurred in 16 cases （1.4%） 3 months later after operation. There was no difference of post-operative pain scores between the surgical procedures. Conclusions Open pre-peritoneal hernioplasty is a safe and reliable procedure with fewer complications, low- er recurrence rate and faster recovery.

关 键 词：腹股沟疝 腹膜前间隙疝修补术 术后并发症 

分 类 号：R656.21[医药卫生—外科学]