摘要
目的探讨Bard补片疝环充填式无张力疝修补术后并发症发生的原因及其防治措施。方法总结2005年6月至2007年12月采用无张力疝修补术的242例腹股沟疝患者的经验。结果全组均痊愈出院,平均手术时间66.2 min,平均术后恢复时间7.3 d,平均总住院时间9.7 d。术后早期切口轻度疼痛,腹股沟区异物感2例(0.8%),切口感染1例(0.4%),尿潴留11例(4.5%),阴囊积液17例(7.4%),228例获随访时间4～22个月,1例有腹股沟区异物感,无1例复发。结论腹股沟区解剖结构的正确认识、手术规范操作和术前术后合理治疗可降低术后并发症的发生,进一步提高腹股沟疝的治疗效果。
Objective To discuss the reasons, the prevention and cure of the postoperative complications of Bard mesh-plug tension-free hernia repair. Methods The experiences of 242 patients with inguinal hernia treated by tension-free hernia repair from June 2005 to December 2007 were summarized. Results All cases were successful, with average operation time of 66.2 min, average recovery time after operation of 7.3 d and average staying time of 9.7 d. There was early slight wound pain in most cases, foreign body sensation in the groin region in 2 cases, wound infection in 1 case, urinary retention in 11 cases, scrotal hydrocele in 17 cases. 1 case presented foreign body sensation and no case recurred in 228 patients followed up 4to22 months. Conclusions The postoperative complications can be decreased by correct recognition of anatomic structure in groin region, a standard operation technique and rational pre/post-operation therapy, which further improved the therapeutic effect of inguinal hernia.
出处
《中华疝和腹壁外科杂志（电子版）》
2008年第2期47-49,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
手术后并发症
疝
腹股沟
无张力
疝修补术
Postoperative complications
Hernia, Inguinal
Tension-free
Herniorrhaphy
