摘要
目的:探讨腹膜前间隙修补术修补成人腹股沟疝的治疗效果。方法:189例腹股沟疝患者采用局麻、硬膜外或全麻,行开放性前入路腹膜前间隙修补治疗。结果:本组手术时间30～100min(平均50min),术后6～24h下床活动(平均8h),术后3～7d出院(平均5d)。随访3～16个月,4例出现阴囊水肿。结论:腹膜前间隙修补术创伤小,手术时间短,符合腹股沟解剖生理,无缝线张力,术后疼痛轻,恢复快,并发症少,复发率低。
Objective To evaluate the effect of open preperitoneal groin hernioplasty in inguinal hernia.Methods All 189 patients with inguinal hernias were treated with open preperitoneal groin henioplasty under local,general or epidural anesthesia.Results The average operation time was 50 min.The mean time of ambulation was 8 hours.The mean time of postoperative hospitalization was 5 days.There were none recurrence in the follow-up time from 3 to 16 months.Hydrocele was fond in 4 patients.No patients was found infection of incisional wound.Conclusion The preperitoneal tension-free hernioplasty is advantageous in low tension,short operation time,less postoperative pain,fast recovery and few complications.It is an ideal procedure for patients with inguinal hernia.
出处
《中国中西医结合外科杂志》
CAS
2011年第2期148-150,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
腹股沟疝
无张力疝修补术
腹膜前间隙
inguinal hernia
tension-free hernioplasty
preperitoneal space
