摘要
目的探讨无张力疝修补术在嵌顿性腹股沟疝中的临床应用方法及价值。方法回顾性分析2005年1月至2012年8月，四川省大竹县人民医院收治的107例腹股沟嵌顿性疝行无张力疝修补术的临床资料，并对其临床效果及并发症进行分析。结果所有患者均治愈，7—9d出院，术后出现急性尿潴留36例，阴囊积液13例，切口红肿、皮下积液1例，均经治疗后痊愈。全部患者随访3个月至6年，无复发。结论嵌顿性腹股沟疝无肠坏死患者可以安全、有效地应用无张力疝修补术。对有小肠坏死，无穿孔、肠管形态良好、周围组织无感染、一般情况良好的患者，可行一期无张力疝修补术。
Objective To discuss the methodology and value of tension-free hernia repair in the clinical practice. Methods From January 2005 to August 2012, A total of 107 cases with inguinal strangulated hernia tension-free hernia repair were enrolled in Dazhu People＇s Hospital. The clinical effects and complications were analyzed. Results All the patients were cured and discharged after 7 to 9 days. The acute urinary retention was found in 36 cases with 13 cases of scrotal hydrocele. There is one case of incision swelling and subcutaneous effusion. All the cases were recovered after treatment. All the patients were followed up for 3 months to 6 years without any recurrence. Conclusions The strangulated inguinal hernia without intestinal necrosis can be safe and effective for tension-free hernia repair. For those patients with small intestine necrosis, no perforation and good surrounding tissue without infection, a one-stage tension- free hernia repair was preferred.
出处
《中华疝和腹壁外科杂志（电子版）》
2013年第6期58-60,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
无张力
Hernia, inguinal
Hemiorrhaphy
Tension-free
