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三种无张力疝修补术疗效分析 被引量:13

Analysis of the effect of 3 tension-free hernioplasty styles
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摘要 目的总结3种无张力疝修补术疗效和并发症。方法自2002至2004年我院对278例腹股沟区疝患者实施无张力疝修补术(疝环充填式,PHS,平片)对其复发率及其他并发症的发生率进行总结。结果总的复发率1.79%(5/278);疝环充填式2.46%(3/122),PHS 1.25%(1/80),平片1.32%(1/76);术后疼痛:21.2%(61/278);疝环充填式37.7%(46/122),PHS 13.8%(11/80),平片5.3%(4/76);术后感染:1.79%(5/278),疝环充填式2.46%(3/122),PHS 2.5%(2/80),平片0.0%(0/76)。结论 3种无张力疝修补方式疗效相同,并发症发生率略有差别,可以根据病情和自己熟练程度选择应用。 Objective To sum up the effect and complications of the 3 styles of tension-free hernioplasties. Methods 278 patients with inguinal hernias in our hospital from 2002 to 2004 were gotten tensionfree hernioplasty( mesh plug, PHS and patch, ) , the recurrent rate and incidence of complications were analyzed. Results The overall recurrent rate was 1.79% ( 5/278 ), mesh plug 2.46% ( 3/122 ), PHS 1.25% (1/80) ,patch 1. 32% ( 1/76 ). Post-operative pain: the overall 21. 2% (61/278); mesh plug 37. 7% (46/122), PHS 13.8% ( 11/80 ), patch 5.3 % ( 4/76 ). Post-operative infection : 1.79% ( 5/278 ) ; mesh plug 2.46% (3/122), PHS 2.5% (2/80) ,patch 0(0/76). Conclusions The effects of the three styles were similar but their complications were different. You can select one of them according to the patients and your skills.
出处 《中华疝和腹壁外科杂志(电子版)》 2007年第2期104-106,共3页 Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词 手术后并发症 无张力疝修补手术 Hernia Postoperative complications Tension-free hernioplasty
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参考文献6

  • 1吴肇汉.无张力疝修补术——疝修补手术的新趋势[J].中国实用外科杂志,2001,21(2):65-65. 被引量:639
  • 2P. K. Amid,I. L. Lichtenstein.Long-term result and current status of the Lichtenstein open tension-free hernioplasty[J].Hernia.1998(2)
  • 3Gai H.Hernienoperation mach Lichtenstein[].Chir Praxis.1998
  • 4Rutkow IM,Robbins AW.Mesh plug hernia repair:a follow-up report[].Journal of Surgery.1995
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  • 6J Cunningham,WJ Temple,P Mitchell.Cooperative hernia study. Pain in the postrepair patient[].Annals of Surgery.1996

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