摘要
目的总结开放式腹膜前间隙疝修补术治疗腹股沟疝的临床应用及疗效。方法回顾性分析2012年6月至2014年6月,河北省赤城县妇幼保健院收治的腹股沟疝患者58例,均行腹膜前间隙腹股沟疝修补术。观察患者围手术期手术时间、住院时间及相关并发症发生情况。结果本组58例患者均顺利完成手术,手术时间45～120 min,平均（55±3）min;住院时间3～7 d,平均（5.0±1.0）d。术后切口疼痛7例,使用止痛药物治疗予以缓解3例,余患者无需治疗;阴囊肿胀3例,行穿刺引流后治愈;切口皮下积液2例,经换药后痊愈。随访3～12个月,术后慢性疼痛2例,异物感2例,睾丸轻度萎缩1例,无复发。结论开放式腹膜前间隙无张力疝修补术治疗腹股沟疝是一种较为理想的手术方式,具有操作简单、恢复快、并发症少,复发率低的优势,学习曲线短,已广泛应用于外科临床实践。
Objective To summarize the clinical effectiveness of open preperitoneal herniorrhaphy for inguinal hernia. Methods A total of 58 cases of inguinal hernia who underwent preperitoneal hernia repair in Chicheng Maternal and Child Care Service Centre,from June 2012 to December 2014,were enrolled in this retrospective study. The operation time,length of hospitalization stay and complications were noted and recorded. Results All 58 operations were completed successfully,with a mean operation time of（ 55 ± 3） minuntes（ range 45 to 120 minuntes） and a mean length of stay of（ 5. 0 ± 1. 0） days（ range 3 to7 days）. Postoperative incisional pain occurred in 7 patients. Three were relieved by pain killer,and the others could be improved without any treatment. There were 3 cases of scrotal swelling and 2 cases of wound subcutaneous effusion, which were treated by punctured drainage and dressing change, respectively.Following 3 to 12 months,there were 2 postoperative chronic pain,2 fore body sensation,1 mild testicular atrophy and no recurrence. Conclusion Open preperitoneal tension- free repair has showed to be some kind of ideal procedure for inguinal hernia,and has the advantages of easy to handle,rapid recovery,less complication and lower recurrence,with short learning curve. It has been widely used in clinical practice.
出处
《中华疝和腹壁外科杂志（电子版）》
2015年第3期54-55,共2页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
Hernia
inguinal
Herniorrhaphy
