股疝的治疗策略(附170例报告)  

Treatment Strategies of Femoral Hernia(A Report of 170 Cases)

作　　者：杨东[1] 王荫龙[2] 

机构地区：[1]天津市人民医院肛肠外科,天津300120 [2]天津市人民医院疝外科,天津300120

出　　处：《中国中西医结合外科杂志》2015年第6期581-584,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的：探讨确保股疝修补成功的重要因素。方法：回顾性分析170例股疝患者的性别、年龄、左/右侧分布情况、嵌顿/绞窄情况、麻醉方式、手术方式、住院天数、术后切口血清肿、感染、局部异物感、慢性疼痛及复发率等指标。结果：170例分别在局麻、硬膜外或全麻下完成Mc Vay、Plug、Lichtenstein、Preperitoneal修补术,住院时间3~8 d,平均5.4 d,术后发生切口血清肿14例,切口感染4例,局部异物感11例,慢性疼痛4例,随访时间最短1年无复发。结论：准确掌握股环及＂死亡冠＂的解剖、合理的麻醉方式、手术方式,是确保股疝修补成功的重要因素。ObjectiveTo study the important factors to ensure the success of the femoral hernia repair.MethodsOne hundred and 70 cases of femoral hernia admitted were retrospectively analyzed by studyingthe indices such as gender, age, left/right sides, incarcerated/strangulation, anesthesia, surgical procedure, postop-erative hospitalization days, seroma complications, infection of incision, local foreign body sensation, chronicpain and the recurrence rate.ResultsAll the 170 cases had Mc Vay, Plug, Lichtenstein or Preperitoneal her-nia repair with local anesthesia,epidural anesthesia or general anesthesia respectively, the hospital stays were 3 to 8 days and the average stay was 5.4 days. There were 14 cases complicated with seroma, 4 cases with incisioninfection, 11 cases with local foreign body sensation and 4 cases with chronic pain, but there were no relapsecases in those followed up for more than 1 year.ConclusionAccurately grasping of the anatomy of femoralring and＂Corona Mortis＂and reasonable choosing the method of anesthesia and surgery are the important factorsto ensure the success of the femoral hernia repair.

关 键 词：股疝 修补术 并发症 

分 类 号：R656.22[医药卫生—外科学]