腹股沟疝术后感染及慢性疼痛临床处理  

Management of infection and chronic pain post inguinal hernioplasty

作　　者：陈思梦[1] 刘力嘉[1] 

机构地区：[1]南京医科大学第一附属医院普外科,江苏南京210029

出　　处：《中国实用外科杂志》2014年第5期398-400,共3页Chinese Journal of Practical Surgery

摘　　要：手术部位感染和伤口疼痛是外科治疗的永恒话题。感染一旦涉及到植入的人工假体,标准的操作程序是移除这个假体材料。尽管腹股沟疝无张力修补术后补片感染发生率很低,但部分医生面对去除或保留补片时仍会犹豫不决。补片感染的预后主要取决于感染时间和补片特性,因此,已有一套标准的、公认的处理策略以缩短无张力疝修补术后感染伤口的愈合时间。术后慢性疼痛则因发生率高、处理棘手、预后难测,已经成为腹股沟疝手术最重要的术后并发症之一。尽管处理上也有一系列措施,但是术后腹股沟区慢性疼痛的治疗策略尚未统一,标准化处理方案仍在探索,手术指征需要严格掌握。"最好的方法是预防"反映了疝外科医生在处理这个并发症时的拘谨和无奈。Surgical site infection and incision pain are constant subjects in field of surgery. Once the infection involves the implanted prosthesis,the standard surgical practice is removal of the infected prosthesis. Mesh infection rate after tension-free hernia repair remains low,which still causes uncertainty about the removal of the infected mesh among surgeons. There is evidence to support that prognosis of infection is related to time and mesh. Therefore,relevant＆amp;nbsp;treatment standard has been established to shorten the healing process of infected incision. Due to higher incidence rate, difficulty in management as well as unpredictable prognosis, chronic pain has been the complication of the utmost importance after tension-free hernia repair,which remains highly controversial in term of management.“Prevention is better than treatment”reflects the dilemma that hernia surgeons have to face chronic pain.

关 键 词：无张力疝修补 并发症 补片感染 慢性疼痛 

分 类 号：R6[医药卫生—外科学]