腹股沟直疝经内环口无张力修补术式探讨  

Procedure of inguinal hernia tension-free repair via the inner ring for direct hernia

作　　者：李世红[1] 罗丹[1] 张元川[1] 李云涛[1] 夏乡[1] 刘展[1] 侯康[1] 古建辉[1] 任海亮[1] 龙飞伍[1] 刘雁军[1] 

机构地区：[1]成都市第三人民医院普外二(胃肠)科,610000

出　　处：《中华疝和腹壁外科杂志（电子版）》2017年第1期46-47,共2页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨经内环口进入腹膜前间隙腹股沟直疝腹膜前间隙无张修补术的临床意义。方法回顾性分析2012年1月至2015年7月,成都市第三人民医院180例腹股沟直疝患者的临床资料,本组患者均自愿行经内环口进入腹膜前间隙腹股沟直疝腹膜前间隙无张修补术。结果 180例患者手术时间54~125 min,平均(75±18)min,术中探查直疝合并隐匿性斜疝者有9例;术后随访1~3年,失访6例,其余患者均无复发、腹股沟区硬化、皮下脓肿及补片周围深部脓肿等发生,慢性疼痛3例,腹股沟区麻木感10例,均获得较满意的临床疗效。结论内环口进入腹膜前间隙腹股沟直疝腹膜前间隙无张修补术是避免腹股沟直疝修补时遗漏隐匿性斜疝。Objective Exploring the clinical significance of preperitoneal inguinal hernia repair via the inner ring for direct hernia. Methods From January 2012 to July 2015, a retrospective analysis was conducted on 180 cases of direct inguinal hernia who underwent preperitoneal inguinal hernia repair via the inner ring in the third people＇s hospital in Chengdu. Results Of 180 cases of patients, the operation time was 54 to 125 minutes. 9 cases were confirmed intraoperatively as direct hernia complicated with occult indirect hernia. Patients were followed up for 1 to 3 years, and 6 cases host. While the remaining patients had no recurrence, inguinal region sclerosis, and subcutaneous/deep mesh abscesses. 3 cases of chronic pain and 10 cases of inguinal area numbness occurred. Conclusion Preperitoneal inguinal hernia repair via the inner ring for direct hernia can avoid missing the occult indirect inguinal hernia.

关 键 词：疝 腹股沟 疝修补术 

分 类 号：R656.21[医药卫生—外科学]