腹腔镜经腹腹膜前修补股疝并子宫圆韧带重建8例疗效分析  

Laparoscopic transabdominal preperitoneal tension-free repair and reconstruction of uterus round ligament for femoral hernia:A therapeutic analysis of 8 cases

作　　者：刘昶[1] 杨凯[1] 纪艳超[1] 姜龙[1] 崔磊[1] 

机构地区：[1]哈尔滨医科大学附属第四医院普外科,黑龙江哈尔滨150001

出　　处：《中国实用外科杂志》2015年第2期195-197,共3页Chinese Journal of Practical Surgery

摘　　要：目的 探讨女性股疝病人行腹腔镜经腹腹膜前修补术（TAPP）并对子宫圆韧带进行重建的疗效。方法回顾性分析2011年4月至2013年10月哈尔滨医科大学附属第四医院收治的8例女性股疝病人的临床资料,均行腹腔镜TAPP,并行子宫圆韧带重建。结果 8例病人术后均顺利出院,住院时间为3-9（5.2±1.7）d,手术时间28-51（37.9±4.8）min,术后下地活动时间为4-6 h。术后病人疼痛较轻微,子宫圆韧带重建对女性生理功能影响较小,术后无切口感染、腹股沟区血清肿等并发症。随访6-36个月,8例子宫圆韧带重建病人无性生活不适感,所有病人均无慢性疼痛及股疝复发。结论 腹腔镜TAPP治疗女性股疝疗效确切,同期行子宫圆韧带重建对女性生理功能影响较小。Objective To study the effectiveness of laparoscopic transabdominal preperitoneal （TAPP） and thereconstruction of the round ligament of the uterus for femoral hernia. Methods The clinical data of 8 cases of femalefemoral hernia admitted from April 2011 to October 2013 the Fourth Affiliated Hospital of Harbin Medical Universitywere analyzed retrospectively. All the cases were performed laparoscopic TAPP repair and uterine round ligamentreconstruction. Results All the 8 cases were discharged after the surgery successfully. The hospital stay lasted 3-9days with a mean of （5.2±1.7）d. The operation time ranged from 28 to 51 minutes with a mean of （37.9±4.8） min. Theambulation time ranged from 4 to 6h. All the cases felt mild pain after operation, and reconstruction of the round ligamentof the uterus had little effect on the female physiological function. There was no complication such as incision infectionand inguinal hematoma. They were followed up for 6-36 months. There was not sexual discomfort. All the cases had nochronic pain and recurrence. Conclusion The effectiveness of laparoseopic TAPP for the treatment of femoral hernia issatisfactory. The reconstruction of the round ligament of the uterus has little effect on the women＇s physiological function.

关 键 词：股疝 子宫圆韧带重建 腹腔镜经腹腹膜前修补术 

分 类 号：R6[医药卫生—外科学]