经腹直肌腹膜前无张力修补手术治疗嵌顿性股疝24例  

24 cases of incarcerated femoral hernia treated by preperitoneal tension-free hernioplasty through rectus abdominis incision

作　　者：张万宇 孙海燕 黎东伟 陈展辉 卢强 唐世龙 李君久 Zhang Wanyu;Sun Haiyan;Li Dongwei;Chen Zhanhui;Lu qiang;Tang Shilong;Li Junjiu(Department of General Surgery,Tungwah Hospital Affiliated to Sun Yat-sen University,Dongguan 523110,China;Clinical laboratory,Tungwah Hospital Affiliated to Sun Yat-sen University,Dongguan 523110,China)

机构地区：[1]中山大学附属东华医院普外科,广东东莞523110 [2]中山大学附属东华医院检验科,广东东莞523110

出　　处：《中华疝和腹壁外科杂志（电子版）》2021年第5期509-511,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨经腹直肌入路腹膜前修补手术治疗嵌顿性股疝的经验及疗效。方法回顾分析2009年6月至2019年2月,中山大学附属东华医院经腹直肌入路腹膜前修补手术治疗的嵌顿性股疝患者24例。收集患者的基本资料及临床数据。结果24例中疝内容物为小肠17例,大网膜7例;绞窄性股疝同时行小肠部分切除术5例,绞窄性股疝同时行大网膜部分切除术治疗1例;手术时间(79.2±30.2)min。24例嵌顿疝内容物复位后均行腹膜前补片修补术,无切口感染者;21例门诊随访2~5年,失访3例,无股疝复发者、无腹股沟区慢性疼痛者、无新发斜疝或直疝者。结论经腹直肌入路腹膜前修补手术治疗嵌顿性股疝,操作简便,值得在合适的患者中开展。Objective To explore the experience and effect of preperitoneal tension-free hernioplasty for incarcerated femoral hernia through rectus abdominis incision.Methods From June 2009 to February 2019,24 patients with incarcerated femoral hernia were treated by preperitoneal tension-free hernioplasty through rectus abdominis incision in Tungwah Hospital,Sun Yat-sen University.We retrospectively analyzed the baseline and clinical data of these patients.Results Of the 24 cases,17 cases were small intestine incarcerated,7 cases were greater omentum incarcerated,5 cases of strangulated femoral hernia were treated with partial resection of small intestine,1 case of strangulated femoral hernia treated with simultaneous partial resection of greater omentum,the operation time was(79.2±30.2)minutes.24 cases of incarcerated femoral hernia were treated with preperitoneal mesh repair after reduction,no incision infection,21 cases were followed up for 2 to 5 years,3 cases were lost,no femoral hernia recurrence,no chronic post operative inguinal pain,no indirect hernia and direct hernia.Conclusion The preperitoneal tension-free hernioplasty in incarcerated femoral hernia through rectus abdominis is simple,and it is appropriate for the right patient.

关 键 词：股疝 嵌顿疝 手术 腹膜前间隙 

分 类 号：R656.22[医药卫生—外科学]