摘要
目的 探讨单层PROLENE网片在殷疝无张力修补术中的应用效果.方法 对浙江省临安市人民医院2003年7月-2012年7月采用单层PROLENE网片行无张力修补术治疗的19例股疝病例进行回顾总结.根据传统McVay修补法的原理,将PROLENE平片平铺在耻骨梳韧带、腹股沟韧带上并固定,使平片略松弛地平铺于股环的缺损处,封堵股管,其余的部分平片松弛平展后缝合于联合腱.回纳难复性或嵌顿疝时切断的腹股沟韧带,如果缝合修复困难,可将腹股沟韧带妥善缝合固定于补片上.结果 手术时间30 ～40 min,平均（30 ＆#177;5）min;术后切口轻微疼痛无感染均Ⅰ期愈合;尿潴留3例,术后无下肢静脉血栓形成;2个月后均恢复正常的日常活动和劳动;随访6～36个月,无浆液肿,无感染、无硬结、无慢性疼痛等并发症,无复发.结论 单层PROLENE网片无张力修补股疝手术符合股疝无张力修补原理,操作简便、并发症少、费用较低、值得推广.但是本组例数较少,仍需大量的临床应用观察.
Objective To evaluate the effect of monolayer PROLENE mesh for tension-free repair of femoral hernia. Methods Data of 19 cases by monolayer PROLENE mesh were used in tension-free repair of femoral hernia from July 2003 to July 2012 were analyzed retrospectively. We according to the principle of traditional McVay repair method. The monolayer PROLENE mesh were laying on the defect of femoral ring, and was fixed on the pectineal ligament, inguinal lig- ament and conjoined tendon. Cutting the inguinal ligament was the usual method to return incarcerated hernia. If it was hard to repair the defect lig of inguinalament, we could repair it with the monolayer PROLENE mesh easily. Results The operative time was 30 -40 minutes. All the 19 eases had less postoperative pain and were healed by first intention without incisional infection ,no lower limb deep venous thrombosis was found. 3 cases of urine retention occurred. All the 19 cases were resumed usual activities after two months. The follow-up periods ranged from 6 months to 36 months and no recur- rence or complications were observed. Conclusion To use monolayer PROLENE mesh for tension-free repair of femoral hernia was in accordance with pathogeny of the femoral hernia. The method had characteristics of simple and security, and popularizing the method was an easy job. But there were limited cases in this study, it need to get more cases and conduct prospective study in the future.
出处
《中华全科医学》
2014年第1期65-67,共3页
Chinese Journal of General Practice
