摘要
目的探讨充填式无张力疝修补术在腹外疝修补术中的价值。方法回顾性总结2000年9月至2008年8月用充填式无张力疝修补术治疗腹外疝250例患者。其中合并心肺功能不全、高血压、糖尿病、前列腺肥大、便秘者占36%(90/250)。结果本组无死亡,切口无感染,均为一期愈合。术后2～7d出院(93%患者于术后4 d出院)。随访3个月～7年,平均随访3年4个月,随访率75.2%,无1例复发。结论充填式无张力疝修补术具有手术创伤小,符合腹股沟管解剖生理,术后患者痛苦少,恢复快,复发率低等优点。
Objective To assess the value of plug and mesh for tension free hernia in the treatment of abdominal external hernia.Methods 272 times of tension free repair of hernia for 250 patients performed in our hospital during the time from September 2000 to August 2008 were retrospectively reviewed.36%（90/250）of cases were complicated by diseases such as cardiopulmonary dysfunction,hypertension,diabetes mellitus,prostate hypertrophy,cirrhotic ascites and thrombocytopenia.Results All patients had the healing by first intention with no incisional infection or death,and they were discharged within 2～7 days after operatio（n93% of patients were discharged 4 days after operation）.75.2% of patients were followed up for an average of 3 years and 4 month（s3 months～7 years）.There was no recurrence during the followup.Conclusions Plug and mesh for the tension free repair has the advantages of less trauma,little postoperative discomfort,rapid recovery and low recurrent rate.
出处
《国际医药卫生导报》
2010年第2期177-180,共4页
International Medicine and Health Guidance News
关键词
疝
腹股沟
再手术
Hernia, fold inguen
Reoperation
