摘要
目的总结疝环充填式无张力疝修补术治疗腹股沟疝的临床经验。方法 85例腹股沟疝使用网塞及网片行无张力修补。结果本组手术时间平均52(35-70)min。所有患者均于术后8 h进食和离床活动,3周后恢复正常工作,均未使用镇痛药。术后阴囊积液1例,尿潴留7例,经对症处理后恢复。随访3-38月无复发。结论本手术术后疼痛轻、恢复快、方法简便、适应证广、并发症少,复发率低,更符合疝发生的病理生理特点及腹股沟管的解剖结构,尤其适于在基层医院推广。
Objective To evaluate the therapeutic effect of Mesh-plug tension-free hernia repair for inguinal hernia.Method 85 patients of inguinal hernia underwent tension-free hernia repair with Mesh-plug.Results The average operation time was 52(35~70) minutes.The postoperative complication occurred in 7 cases of urine retention and 1 case of scrotal hydrocele.There was no recurrence with 3 to 38 months follow-up.Conclusion Basing upon the physiological anatomy,it demonstrates the advantages of simple procedures,short operating time,less dissection,minor invasion with satisfactory therapeutic effect of Mesh-plug tension-free hernia repair,and is recommended for popularization.
出处
《中国现代手术学杂志》
2010年第2期110-111,共2页
Chinese Journal of Modern Operative Surgery
关键词
疝
腹股沟
疝修补术
无张力
hernia
inguinal
herniorrhaphy
tension-free