摘要
目的:总结果用改良平片无张力疝修补术治疗腹股沟疝的要点以及体会。方法:2013年6月-2014年3月收治腹股沟疝患者45例,均采用改良平片无张力疝修补术进行治疗,观察其治疗结果以及随访情况。结果:患者的手术时间40~85 min,平均(62.2±2.1)min。住院时间4~10天d,平均(6.0±1.2)d。患者术后1 d即可适当下床活动,患者术后使用止痛药物8例(17.78%)。术后患者未出现阴囊肿胀及感染等并发症问题,出现尿潴留1例(2.22%)。对患者进行3个月的随访,无复发问题出现。结论:改良无张力疝修补术更加符合人体的解剖结构与生理特点,因此在腹股沟疝临床治疗中的应用具有较好的效果,操作简单,对患者造成的创伤较小,不仅术后恢复速度快,并且复发率明显降低,值得推广应用。
Objective:To summarize the key points of the modified tension-free hernioplasty in the treatment of inguinal hernia and its experience.Methods:45 patients with inguinal hernia were selected from June 2013 to March 2014.They were treated with modified tension-free hernioplasty treatment,and we observed their treatment results and prognosis.Results:The operation time of patients were 40~85 minutes,averaged(62.2±2.1) minutes.Hospital stay were 4~10 days,averaged(6±1.2) days.Patients could properly ambulation after 1 days of operation,8 cases use of drug after operation(17.78%).there was no complication of scrotal swelling and infection occurred after operation,1 cases of uroschesis(2.22%).All the patients were followed up for 3 months without recurrence.Conclusion:The modified tension-free hernia repair is more consistent with the anatomical structure and physiological characteristics of the human body,so it has better effect applied in the clinical treatment of inguinal hernia.this operation is simple,and less of trauma for patients,not only recoved speedly after the operation,but also can obviously reduce the recurrence rate,so itis worthy of further promotion and application.
关键词
腹股沟疝
精索
张力
修补
平片
Inguinal hernia
Spermatic cord
Tension
Repair
Flat sheet
