腹膜前补片修补术治疗原发性腰疝20例分析  

Analysis of Stoppa herniorrhaphy for primary lumbar hernia:A report of 20 cases

作　　者：杜华栋[1] 申英末[1] 孙立[1] 朱熠林[1] 陈杰[1] 

机构地区：[1]首都医科大学附属北京朝阳医院疝和腹壁外科,100043

出　　处：《中华疝和腹壁外科杂志（电子版）》2017年第5期329-332,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：北京市卫生系统高层次卫生技术人才培养计划(2015-3-031);首都医科大学附属北京朝阳医院西院科研课题(JXPY201604)

摘　　要：目的探讨在治疗原发性腰疝中采用腹膜前修补的临床效果。方法回顾性分析2015年1月至2017年1月,首都医科大学附属北京朝阳医院治疗20例原发性腰疝患者的相关临床资料,观察术后并发症及复发情况。结果 20例患者均顺利完成手术,疝环大小为1.5~2.5 cm,平均(2.0±0.4)cm;手术时间25~75 min,平均(42.9±14.6)min;术后住院时间1~5 d,平均(3.0±1.1)d;术后24 h疼痛视觉模拟评分2~6分,平均(2.5±0.9)分;术后未出现发热、切口感染及其他严重并发症。20例患者均获随访,术后随访时间4~24个月,平均(13.4±5.4)个月,均无术后慢性疼痛及异物感,无复发患者。结论应用腹膜前补片修补术治疗原发性腰疝是一种安全可行的手术方式,具有创伤小、并发症少、恢复快、术后舒适度高等优势。Objective To explore the security and feasibility of the Stoppa herniorrhaphy in primary lumbar hernia. Methods Clinical data of 20 cases of primary lumbar hernia who underwent Stoppa herniorrhaphy from January 2015 to January 2017 in Beijing Chao-Yang Hospital of Capital Medical University were retrospectively analyzed. Postoperative complications and recurrences were recorded. Results Operations were completed successfully in all 20 cases. The mean lumbar defect was（ 2. 0 ± 0. 4） cm（ range from 1. 5 to 2. 5 cm）. The mean operation time was（ 42. 9 ± 14. 6） minutes（ range from 25 to 75 minutes）and the mean hospital stay was（ 3. 0 ± 1. 1） days（ range from 1 to 5 days）. The postoperative VAS pain score was 2. 5 ± 0. 9（ range from 2 to 6）. There were no complications such as fever and wound infection.All cases were followed up for 4 to 24 months（ mean of 13. 4 ± 5. 4） without obvious chronic pain,foreign body sensation and recurrence. Conclusion The Stoppa herniorrhaphy in primary lumbar hernia is safe and feasible,and has the advantages of minimal invasion,few complications and good postoperative comfort feeling.

关 键 词：腰疝 疝修补术 腹膜前间隙 补片 

分 类 号：R656.2[医药卫生—外科学]