摘要
目的探讨前入路腹膜前间隙无张力修补术治疗成人腹股沟疝的临床效果。方法分析我科自2010年01月至2010年04月期间收治的32例成人腹股沟疝患者的临床资料,所有病例均采用腰麻,用北京天助畅运医疗技术有限公司生产的善释EasyProsthesis D10疝修补片行前入路腹膜前间隙无张力修补术。结果本组患者中,男性25例,女性7例;年龄24～81岁;手术时间(40±15)min;患者术后12h下床活动;住院时间(6±2)d;1例术后出现切口轻度疼痛,经局部理疗2d后缓解;1例老年男性患者出现术后尿潴留,置尿管并定期开放,术后第3天拔除;术后无皮下血肿、阴囊或大阴唇积液、切口感染等并发症,本组病例术后随访2～6个月无复发、手术区域无慢性疼痛、无异物感。结论前入路腹膜前间隙无张力修补术采用普通外科医师解剖熟悉的前入路进行手术,在腹膜前间隙进行耻骨肌孔的无张力修补,符合腹股沟解剖生理,是对全腹股沟区进行修补,其在治疗一种腹股沟疝的同时预防了其他腹股沟疝的发生,并具有损伤小,术后疼痛轻、恢复快,并发症少,复发率低等优点,是一种安全、可靠的无张力疝修补方式,值得临床推广应用。
Objective To evaluate the effect of preperitoneal tension - free herniorrhaphy in adult inguinal hernias with EasyProsthesis SurgiCal Mesh D10. Methods The study include 32 patients with inguinal hernias in our department from Jan 2010 to Apr 2010. All the patients were treated with the open preperitoneal tension -free groin herniorrhaphy under subarachnoid anaesthesia. Results The age of these patients was 24 to 81 years old. The operation time was （40 ± 15） minutes, all cases did not appear serious complications. The length of hospital stay was （6 ±2） days. There were no recurrence cases during the follow - up from 2 to 6 months. Conclusions The preperitoneal tension - free herniorrhaphy has fewer systemic injury, fewer postoperative pain, faster recovery, fewer complications or recurrence, no local discomforts. It is consistent with the inguinal anatomy and physiology. It is a safe and effective method.
出处
《中华疝和腹壁外科杂志（电子版）》
2011年第3期39-41,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
腹膜前间隙
耻骨肌孔
疝修补术
Hernia, inguinal
Preperitoneal space
Myopectineal orifice
Herniorrhaphy
