J4 ›› 2010, Vol. 9 ›› Issue (2): 43-44.

• 临床医学 • 上一篇    下一篇

疝环充填式无张力疝修补治疗腹股沟疝126例体会

  

  1. 大理学院大理附属医院外二科,云南大理 671000
  • 收稿日期:2009-12-19 出版日期:2010-02-15 发布日期:2010-02-15
  • 作者简介:杨斌,主治医师,主要从事普通外科研究.

A Report of 126 Cases of Plug Mesh Hernia Repair

  1. Department of Genernal Surgery, Dali Affiliated Hospital, Dali University, Dali, Yunnan 671000, China
  • Received:2009-12-19 Online:2010-02-15 Published:2010-02-15

摘要:

目的:总结疝环充填式无张力疝修补术的临床疗效和近期并发症。方法:分析2002年5月至2009年2月期间,用定型产品
行疝环充填式无张力疝修补术治疗腹股沟疝126例,腹股沟斜疝116例,其中复发疝4例,直疝10例。结果:平均手术时间为48min;术后疼痛轻,18例口服止痛剂;术后第一天下床活动;术后尿潴留21例,阴囊血肿2例,局部异物感4例,局部硬结2例,切口红肿3例。术后随访1耀24月,2月后复发1例。结论:疝环充填式无张力疝修补术符合解剖生理,方法简单,时间短,创伤小,无张力,近期疗效满意,复发率低,并发症较少。

关键词: 腹股沟, 疝, 疝修补, 无张力, 补片

Abstract:

Objective: To summarize the curative effects and short-term complicationgs of plug mesh hernia repair. Method: From
May, 2002 to Feb, 2009, 126 patients underwent plug mesh hernia repair, among whom, 116 cases were of indirect hernia and 10 cases were of direct hernia. Result: The operation lasted 48 min on average. After operation, 18 cases took analgesics. On the first day after operation, all patients began to get out of bed. There were 21 cases that suffered from retention of urine, 2 cases hematoma of scrotum, 4 cases local foreign body sensation, 2 cases local induration, 3 cases incision swelling. There was one case of recurrence in the follow-up of 126 during a period of 1 to 24 months. Conclusion:Plug mesh hernia repair is favorable to anatomical physiology with easy management, less time consumption, minimal wound and tension-free. The immediate curative effect is satisfying owing to the low recurrence and less complication.

Key words: ingune, hernia, herniorrhaphy, tension-free, mesh

中图分类号: