非编织聚丙烯补片在局部麻醉下腹膜前间隙腹股沟疝无张力修补术中的应用  

Non-woven polypropylene mesh in preperitoneal tension-free inguinal hernia repair under localan esthesia

作　　者：蔡云飞 李辰焰[2] 

机构地区：[1]赤峰市宁城县蒙医中医院普通外科,内蒙古自治区024200 [2]赤峰市医院普通外科,024000

出　　处：《中华疝和腹壁外科杂志（电子版）》2015年第4期30-32,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨非编织聚丙烯补片在局部麻醉下腹膜前间隙腹股沟疝无张力修补术中的应用。方法回顾性分析2014年1～7月,赤峰市宁城县蒙医中医院采用非编织聚丙烯补片,在局部麻醉下腹膜前间隙腹股沟疝无张力修补术治疗腹股沟疝患者32例的临床资料。观察其手术时间、住院时间、住院费用,术后随访其并发症、慢性疼痛、局部异物感及复发情况。结果本组患者均顺利完成手术。单侧疝手术时间为（49±10）min,住院时间为（3.5±1.0）d,住院费用（5 250±200）元。术后1例患者出现伤口局部感染,2例患者出现阴囊积液,2例患者出现腹股沟区血清肿,其余患者均未出现并发症、慢性疼痛、异物感及复发。结论非编织聚丙烯补片应用于局部麻醉腹膜前间隙腹股沟疝无张力修补术,手术操作简单,术后并发症发生率及复发率低,患者无明显慢性疼痛及异物感,临床上值得推广。ObjectiveTo explore the non-woven polypropylene mesh in preperitoneal tension-free inguinal hernia repair under local anesthesia. MethodsA total of 32 cases with inguinal hernia were enrolled and underwent preperitoneal tension-free hernia repair with non-woven polypropylene mesh under local anesthesia in the Ningcheng County Chinese ＆ Mongolian Medicine Hospital of Chifeng from January 2014 to July 2014. The operation time, length of stay, costs, complications, chronic pain, foreign body sensation and recurrence were observed.ResultsAll the patients were operated successfully. The unilateral operation time was （49±10） minutes, the length of hospitalization stay was （3.5±1.0） days and costs was （5 250±200） yuan. There were 1 case of wound infection, 2 cases of scrotal hydroceles and 2 cases of seroma in the inguinal region. The rest had no complications, chronic pain, foreign body sensation and recurrence.ConclusionPreperitoneal tension-free hernia repair using non-woven polypropylene mesh under local anesthesia is simple to perform and it has few complications and low recurrence. Patients have no chronic pain and foreign body sensation. It is worthy of clinical promotion.

关 键 词：疝 腹股沟 麻醉 局部 聚丙烯类 疝修补术 

分 类 号：R656.21[医药卫生—外科学]