摘要
目的探讨腹横筋膜在腹股沟疝修补术中的应用价值。方法选取我院1990年1月至2005年12月期间收治的617例行疝修补术的患者,根据手术方式的不同分为腹横筋膜及内环重建(腹横筋膜法)组(n=337)和Bassini法组(n=280),对2组患者术中情况、术后并发症发生以及恢复情况进行比较。结果与Bassini法比较,腹横筋膜法组患者的手术时间和术中出血量的差异无统计学意义(P>0.05);术后持续疼痛及睾丸肿胀发生率、复发率和恢复正常活动时间较低或较短(P<0.05),而阴囊血肿和切口感染发生率的差异均无统计学意义(P>0.05)。结论采用腹横筋膜加强后壁和内环重建的腹股沟疝修补术方法简单有效。
Objective To investigate the application of transverse fascia in inguinal hernia repair.Methods In this study,617 patients underwent inguinal hernia repair between January 1990 and December 2005 in our hospital were included,which were divided into two groups according to different operative ways：transverse fascia method group （n=337） and Bassini method group （n=280）.Then intraoperative results,postoperative complications,and rehabilitated results of patients in two groups were compared.Results Compared with Bassini method group,the patients in transverse fascia method group did not show significant difference in operative time and blood loss during operation （P〈0.05）.The differences of severe postoperative pain,testicular swelling,the time of the body’s restore for normal activities,and recurrence rate of patients between two groups were significant （P〈0.05）,while the difference of hematoma of scrotum and infection of incisional wound （P〈0.05）.Conclusion The strengthening of posterior wall by transverse fascia and reconstruction of inner ring is a simple and effective method for inguinal hernia repair.
出处
《中国普外基础与临床杂志》
CAS
2010年第7期739-741,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
腹股沟疝
腹横筋膜
内环重建
术后并发症
疝修补术
Inguinal hernia
Transverse fascia
Inner ring reconstruction
Postoperative complications
Hernia repair
