腹股沟滑疝开放式手术治疗分析  

Analysis of open operation for sliding inguinal hernia

作　　者：韩雨倩[1] 陈健民[1] 陈亚柯[1] 王殿琛[1] 

机构地区：[1]郑州大学第一附属医院疝和腹壁外科,450052

出　　处：《中华疝和腹壁外科杂志（电子版）》2017年第1期1-3,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：二○一五年度河南省医学科技攻关项目(201503063)

摘　　要：目的探讨腹股沟滑疝诊断及手术治疗方法。方法回顾性分析2011年1月至2015年12月,郑州大学第一附属医院33例行开放式手术治疗滑疝患者的临床资料,总结滑疝临床特点,采用高位游离还纳疝囊方法,选择无张力疝修补术,观察手术疗效。结果全组患者术后第1天普通饮食,下床活动,术后3~7 d痊愈出院。术后随访6个月至5年,均无切口感染、疝复发、肠梗阻等发生。慢性疼痛轻度及中度各1例。结论腹股沟滑疝虽术前明确诊断较难,但有一定的临床特点。可疑者术中不必切开疝囊,采用高位游离还纳疝囊,选择无张力疝修补术。Objective To investigate the diagnosis and surgical treatment of sliding inguinal hernia. Methods Retrospectively analyzes The clinical data of 33 sliding hernia in the First Affiliated Hospital of Zhengzhou University from January 2011 to December 2015 were retrospectively analyzed. Clinical features of the sliding hernia were summarized. High dissection and reduction of hernia sac was performed in tension-free hernia repair and the surgical outcomes were noted. Results The patients were given normal diet and asked to leave bed at 1 st day after the operation. All patients were discharged in 3 to 7 days. Within the follow-up period （6 months to 5 years）, no cases of incision infection, recurrence and intestinal obstruction occurred. 1 case developed chronic pain in each of mild and moderate. Conclusion Although diagnosis of inguinal sliding hernia is difficult before operation, it has certain clinical characteristics. Hernia sac of suspected patients should not be cut, but can choose tension-free herniorrhaphy with high dissection and reduction of hernia sac.

关 键 词：疝 腹股沟 疝修补术 滑疝 

分 类 号：R656.21[医药卫生—外科学]