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腹股沟疝复发的原因分析 被引量:9

Analysis of causes of recurrent ingunial hernia
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摘要 目的 探讨腹股沟疝术后的复发因素。方法 回顾性分析1993 年5 月至1999 年6 月收治的45 例腹股沟复发疝病人,其中斜疝33 例,直疝12 例。结果 行Halsted 术30 例,McVay 术15 例,随访无复发。结论 不符合生理的有张力缝合,不重视内环修补,术者技巧与经验不足,不适当的选用缝线及术式是引起腹股沟疝复发的重要原因。 Objective To address the causative factors in the post operative recurrence of inguinal hernia.Methods Forty five patients with recurrent hernia were admitted to the hospital from May 1993 to June 1999.of these cases,33 were indirect hernias and 12 direct hernias.For treatment,30 cases were repaired by Halstyeds operation and 15 cases were repaired by McVays operation.The possible causes of recurrence were examined during operation.Results No recurrence was observed again in the follow up period from 6 months to 6 years after opeation.Conclusion The major causes of recurrence of inguinal hernias were:repair under tension,negligence in repairing the internal ring,less experience and dexterity of the surgeon,and inappropriate choice of sutures and methods for operation.
作者 陈玉祥 雷鹏
机构地区 德阳市人民医院
出处 《四川医学》 CAS 2000年第1期14-15,共2页 Sichuan Medical Journal
关键词 腹股沟疝 复发 病因 Inguinal hernia Recurrent hernia Cause
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