摘要
目的回顾分析本院从2002年6月至2008年10月对387例,408侧(Ⅰ型32侧,Ⅱ型108侧,Ⅲ型211侧,Ⅳ型57侧)腹股沟疝行无张力修补术治疗的经验和效果。方法201侧疝行Plug Mesh修补术,207侧疝行Lichtenstein修补。结果患者腹股沟疝均得到治愈,效果满意,无1例复发,无伤口感染发生。患者平均年龄63岁,平均住院3.5d。平均随访25个月。术后有8侧疝(1.96%)出现局部血肿,11侧疝(2.7%)有伤口局部感觉异常,3侧疝(0.74%)出现阴囊积液。186例(48.06%)肌肉注射镇痛剂1次,155例(40.05%)口服镇痛剂,其余46例(11.89%)未使用镇痛剂。术中、术后无严重并发症。结论无张力修补术治疗腹股沟疝疗效满意,Lichtenstein无张力修补可能是大多数腹股沟疝治疗的首要选择。
Objective To analyze retrospectively the experiences and results of the tension-free repair on 387 patients with 408 inguinal hernias （typeⅠ 32,type Ⅱ 108,type Ⅲ 211 ,type Ⅳ 57） from Jun 2002 to Oct 2008. Methods 201 hernias were treated with Plug Mesh repair and 207 hernias with Lichtenstein repairThe average follow-up was 25 months. Results The hernias were cured and the effects were satisfactory. No hernia recurrence and wound infection was occurred.. The patieus were average 63 years old. The average hospital staying was 3.5 days. The hematoma occurred in 8（1.96%） hernias,anaesthesia in 11（2.78%） ,and scro- tal fluid accumulation in 3（0.74 %）. 186 （48.06 % ） patients were injected with analgesic, 155 （40.05 % ） took analgesic and 46 （11.89%） used none. No serious peri-operative complications happened. Conclusion The effects of tension-tree repair in the treatment of inguinal hernia are satisfactory,and Lichtenstein tension free hernioplasty should be the first choice of operation of the most inguinal hernia.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第7期833-834,共2页
Chongqing medicine
