摘要
作者统计了1972～1996年手术治疗88例腹股沟直疝的临床资料。其中右侧46例(52.3％),左侧24例(27.3％),双侧18例(20.4％),骑跨疝4例(4.5％);修补方法采用McVay法59例(63.4％),Bassini法18例(19.3％),Halsted法12例(12.9％),改良McVay法2例(2.2％),疝成形2例(2.2％)。随访58例(65.9％),2例复发(2.3％)。文内对腹股沟直疝的特点及术式选择进行了讨论,提出术中应注意识别骑跨疝的存在,旨在提高腹股沟直疝手术的疗效。
To improve the effect of operation for direct inguinal hernia, the authors reviewed the clinical material of operative management of 88 patients with direct inguinal hernia from 1972 to 1996, which including right in 46(52. 3% ), left in 24(27. 3% ), bilateral in 18(20.4%) and straddle hernia in 4(4. 5%).The hernioplasty included McVay's operation in 59(63. 4% ), Bassini's operation in 18(19.3%), Halsted's operation in 12(12.9%) ,modified McVay's operation in 2(2. 2 % ) and plastic operation in 2(2. 2% ) . Fifteen eight(65. 9% ) were followed up for 1-5 years and recurrence developed in 2(2. 3% ). The clinical feature and the choice of operative mode were discussed, and the exist of straddle hernia must be on guard against during the operation was emphasized.
关键词
腹股沟直疝
手术方法
外科手术
腹横肌
hernia, inguinal
surgery, operative
operative experience
