摘要
腹股沟疝是普通外科医师最常见的疾病之一, 是先天因素、胶原蛋白代谢改变、前列腺切除术后、遗传等多种因素共同作用的结果。手术是有效的治疗手段, 但最佳手术方式暂无定论, 开放式无张力疝修补术操作简单、学习曲线短、复发率低, 广泛受到术者欢迎;腹腔镜下疝修补术因创伤小、术后疼痛轻、术后恢复快及手术相关并发症较少等优点, 发展迅速;机器人手术的疗效与腹腔镜相当, 但花费较高。合适的麻醉方式以及补片的选择可减少术后并发症, 提高患者的生活质量。本文结合近年来国内外相关研究, 对于成人腹股沟疝的危险因素、手术方式、麻醉方式、补片的选择等方面进行综述。
Inguinal hernia is one of the most common diseases of general surgeons,which is the result of congenital factors,changes in collagen metabolism,post-prostatectomy,genetics and other factors.Surgery is an effective means of treatment,but the best surgical method is still uncertain.Open tension-free hernia repair is widely welcomed by surgeons because of its simple operation,short learning curve and low recurrence rate.Laparoscopic hernia repair has developed rapidly due to its advantages of less trauma,less postoperative pain,faster postoperative recovery and fewer surgery-related complications.Robotic surgery is comparable to laparoscopic surgery but is more expensive.Appropriate anesthesia and mesh selection can reduce postoperative complications and improve patients'quality of life.In this paper,the risk factors,surgical methods,anesthesia methods,and the selection of mesh in adult inguinal hernia were reviewed based on relevant studies at home and abroad in recent years.
作者
祁伟伟
黄博
Qi Weiwei;Huang Bo(The Fifth Clinical Medical College,Shanxi Medical University,Taiyuan 030000,China;Department of General Surgery,Shanxi Provincial People's Hospital,Taiyuan 030000,China)
出处
《国际外科学杂志》
2024年第4期283-288,共6页
International Journal of Surgery
关键词
疝
腹股沟
危险因素
治疗结果
疝修补术
补片
Hernia,inguinal
Risk factors
Treatment outcome
Surgical treatment
Mesh
