摘要
目的总结无张力疝修补治疗腹殷沟疝的临床经验。方法使用美国巴德公司生产的锥型充填物及成型补片（Mesh Plug and Patch）、精索护垫平片，在全麻、连续硬膜外或局麻下采用Rutkow法（疝环充填加平片）和Lichtenstein法（平片法）无张力修补治疗134倒腹股沟疝。结果手术时间20～100min，平均45min。无一例使用镇痛药物，术后4～6h患者能下床活动。术后尿潴留9倒，切口乙级愈合5例，1倒局部疼痛，无一例发生心、肺、脑并发症。全部患者随访1～36个月，无复发。结论二种无张力疝修补术治疗腹股沟籼手术指征宽，创伤小，恢复快，并发症少和复发率低。
Objective To summarize the clinic experience of tension free hernioplasty. Methods The clinic material of 134 patients using mesh plug and patch or patch hernia, under general anesthesia, continuous epidural anesthesia or local anesthesia with Rutkow or Lichtenstein method repair for inguinal hernia were analyzed. Results The operation time ranged from 20min to 100min, with a mean of 45min. After operation, no analgesics were required. The patients began to get out of bed （4-6）hours postoperatively. There are 9 cases retention of urine,5 cases B incision healing,1 case local pain. There were no complications of heart .lung, brain. Follow-up for （1-36）months in all the cases found no recurrence. Conclusions Tension free hernioplasty by two methods is characterized by broad indication, minimal invasion, rapid recovery, fewer comlications, and low recurrence.
出处
《中国煤炭工业医学杂志》
2007年第12期1360-1361,共2页
Chinese Journal of Coal Industry Medicine
