腹腔镜腹股沟疝修补术后血清肿发生原因及对策  

Reason and treatment of seroma after laparoscopic inguinal hernia repair

作　　者：庄哲宏[1] 张剑宝[1] 梁智浩 张冬辉[1] 谭诗成[1] 何葵[1] 

机构地区：[1]中山大学附属第八医院胃肠外科,广东深圳518033

出　　处：《岭南现代临床外科》2016年第5期580-583,共4页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨腹腔镜腹股沟疝修补术后血清肿的发生原因及对策。方法选取我科从2012年4月到2016年6月间采用腹腔镜术式治疗成年男性腹股沟疝患者共251例,观察术后1个月内血清肿的发生率及严重程度,找出其原因及探讨处理对策。结果 4年间共发生血清肿42例,大多数无需处理,仅3例需抽液并加压治疗,全部42例患者未发生感染。血肿可能与年龄、手术方式和伴随较严重的疾病有关。结论腹腔镜腹股沟疝修补术术后血清肿可能涉及到年龄、手术方法及严重的伴随疾病有关。Objective To discuss the reasons and treatment of seroma formation after laparoscopic inguinal hernia repair （LIHR）. Methods A total of 251 cases in our hospital from April 2012 to June 2016 were included in the cohort. All patients underment LIHR and their data were retrospective analyzed. The incidence and severity of seroma in one month after operations was observed. Results Forty-two patients were suffered from seroma after LIHR in this during period and most of them got well without any intervention except three patients were subjected to drainage by puncture and compression therapy. Seroma after LIHR were associated with age, surgical approach and severe concomitant diseases. Conclusion Pay attention to aged patients and their concomitant diseases in perioperative period and choose the best treatment.

关 键 词：腹股沟疝 修补术 腹腔镜 血清肿 

分 类 号：R656.21[医药卫生—外科学]