经Bogros间隙无张力修补术治疗腹股沟嵌顿疝及普通疝效果探析.docVIP

经Bogros间隙无张力修补术治疗腹股沟嵌顿疝及普通疝效果探析 　　[摘要] 目的 评价经Bogros间隙无张力疝修补术治疗腹股沟嵌顿疝和普通疝的临床疗效。 方法 回顾性分析2010年1月～2016年4月在我院接受经Bogros间隙无张力疝修补术治疗的83例腹股沟嵌顿疝和957例普通疝患者的临床资料。 结果 嵌顿疝组患者在平均手术时间（45.62±8.73）min、住院天数（4.47±1.82）d和复工时间（9.14±4.35）d方面长于普通疝组的手术时间（38.58±5.15）min、住院天数（3.23±0.64）d和复工时间（8.12±3.67）d，各项差异均有统计学意义（P0.05）；嵌顿疝组和普通疝组术后感染分别为1例（1.2%）和6例（0.6%），均在换药后痊愈。血（清）肿分别发生19例（22.89%）和168例（19.18%），均自行吸收或穿刺抽液后痊愈。两组患者术后随访无复发。结论 与治疗普通腹股沟疝一样，经Bogros间隙无张力疝修补术是一种安全治疗嵌顿疝的手术方式 [关键词] 疝；腹股沟；嵌顿性；疝修补术；Bogros间隙 [中图分类号] R656.21 [文献标识码] B [文章编号] 1673-9701（2017）03-0055-04 Analysis of the effect of Bogros gap tension-free repair in treatment of incarcerated hernia and ordinary hernia HE Yanfei1 ZHANG Xiliang2 ZHANG Chaojun2 1.Medical Department， People’s Liberation Army Navy General Hospital， Beijing 100048， China； 2.Department of General Surgery， People’s Liberation Army Navy General Hospital， Beijing 100048， China [Abstract] Objective To evaluate the clinical efficacy of Bogros gap tension-free hernia repair in treatment of incarcerated hernia and ordinary hernia. Methods The clinical data of 83 incarcerated hernia patients and 957 ordinary hernia patients undergoing Bogros gap tension-free hernia repair from January 2010 to April 2016 were retrospectively analyzed. Results The mean operative time（45.62±8.73） min， hospital stay（4.47±1.82） d and recovery time（9.14±4.35） d in incarcerated hernia patients were significantly longer than those in the normal hernia group with（38.58±5.15） min， （3.23±0.64） d and recovery time（8.12±3.67） d respectively， and the differences were all significant（P0.05）. There was 1 case of postoperative infection in incarcerated hernia group（1.2%） and 6 cases in ordinary hernia group（0.6%）. And the infections were all recovered after dressing. Blood （serum） swollen occurred in 19 cases（22.89%） and 168 cases（19.18%）， respectively， and were self-absorbed or recovered after puncture drainage. There was no recurrence in both groups during postoperative follow-up. Conclus