摘要
目的 :探讨疝环填充式无张力疝修补术治疗老年人腹股沟疝的优缺点 ,并评价其临床价值。 方法 :回顾性分析在我院进行的老年人疝环填充式无张力疝修补术 130例。 结果 :手术时间平均 43.5min ,全部患者术后 3～ 2 4h内均可下床室内活动 ,切口疼痛轻微 ,恢复快 ,尿潴留发生率为 1.5 4% ,未发生任何严重并发症或因手术而死亡者。切口Ⅰ期愈合 ,术后 1～ 8天出院。随访 2～ 36个月 ,无切口并发症 ,也未见复发。 结论 :疝环填充式无张力疝修补术操作简便 ,安全 ,痛苦小 ,恢复快 ,并发症少 ,复发率低 。
Objectives:To evaluate mesh plug tension-free hernia repair in the treatment of inguinal hernia in the elderly. Methods: A retrospective study was done on 130 patients receiving mesh plug tension-free hernia repair in our hospital from August 1998 to July 2001. Results:The average time of operation was 43.5 min. All the patients were able to move about in the room within 3～24 hours after the operation, with less pain and rapid recovery, urine retention occurred in 1.54% of the patients. There were no severe complications for the operation, and no mortality. All the incisions healed by first intention, postoperative hospital stay was 1～8 days. After follow up for 2 to 36 months, neither incision complications nor recurrence happened. Conclusions:Mesh plug tension-free hernia repair is a simple, effective, safe and reliable method for the treatment of inguinal hernia in the elderly. Its short term effect was better than Bassini method, while the long-term effect need further investigation.
出处
《医学研究生学报》
CAS
2002年第4期319-322,共4页
Journal of Medical Postgraduates
