摘要
目的：总结局部麻醉下腹膜前间隙无张力疝修补术的临床治疗经验。方法回顾性分析2009年1月至2013年12月，天津中医药大学第二附属医院收治的500例腹股沟斜疝患者500例，均行腹膜前间隙无张力修补术。结果本组患者手术均顺利完成，手术时间30∽55 min，平均（35±5）min，术后当天下地活动，全部于术后2 d出院，无需拆线。平片加固患者20例，术后使用了1∽2次镇痛药物。无皮下及阴囊血肿积液形成，无切口感染。全组随访2∽34个月，平均20个月，复发2例。腹膜前间隙血肿1例。仅平片加固患者术区不适感9例。结论腹膜前间隙无张力疝修补术是一种较合理的修补方式，具有安全有效，术后恢复快，并发症少，近期疗效满意等优点。
Objective To summarize the clinical experience of preperitoneal tension-free hernia repair under local anaesthesia.Methods From January 2009 to December 201 3,500 cases of inguinal hernia who received preperitoneal tension-free in our hospital were retrospectively analyzed.Results All operation of patients were successfully completed,the mean operating time was （35 ±5 ）minutes,all of them recovered to activity in same day and discharged after 2 days without sutures removal.20 of them needed reinforcement with flat mesh,and took analgesic drugs 1 to 2 times.No subcutaneous/scrotum seroma and no wound infection were found.ALL patients were followed up for 2 to 34 months,mean of 20 months.2 cases of recurrence and 1 case of preperitoneal hematomaoccurred.Discomfort of operation field was observed in 9 patients.Conclusions It is suggested that preperitoneal tension-free herniorraphy is an appropriate repair method,which have rapid recuperation,less complications,satisfactory effect in short-term.
出处
《中华疝和腹壁外科杂志（电子版）》
2014年第3期52-53,共2页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
麻醉
局部
Hernia,inguinal
Herniorrhaphy
Anaesthesia,local
