疝环充填式无张力疝修补术在老年腹股沟疝中的应用.pdfVIP

2007年l0月第20卷第10 ·885· 疝环充填式无张力疝修补术在老年腹股沟疝中的应用 张乃政，李迎华，孟静 (濮阳市第三人民医院外一科，河南濮阳457000) 摘要：目的 评价疝环充填式无张力疝修补术应用于老年腹股沟疝的临床效果。方法 对2002年1月至 2006年12月收治的68例老年腹股沟患者的临床资料进行回顾性分析。结果 全部病例治愈，平均手术时间 50 min，平均住院5．6 d，并发症发生率11．8％(8／68)。随访6～66月，无术后复发。结论 疝环充填式无张力 疝修补术是一种完全符合生理解剖特点的手术方式。具有操作简单、创伤小、恢复快、复发率低及适应证广等 优点，适合于老年患者。 关键词：腹股沟疝；无张力疝修补术 中图分类号：R656．2 1 文献标志码：A 文章编号：1006—1959(2007)10—0885—02 The application of mesh—plug tension—free herniorrhaphy in elderly patien~witll inguinal hernia ZHANG Nai—zheng，LI Ying—hua，MENG Jing (Department of No，1 General Surgery，the Third People S Hospital of Puyang City，Puyang 457000，Henan Province， China) Abstract：Objective To evaluate the clinical therapeutic efficacy of mesh— plug tension‘_free herniorrhaphy in elder patients with inguinal hernia．Methods The clinical data of 68 patients with inguinal hernia treated with mesh— plug tension——free herniorrhaphy from January 2002 to December 2006 were analyzed retrospectively，Results All the patients were cured．The average operation time was 50 minutes，and the average hospital stay was 5．6 days，The rate of postoperative complication was 1 1．8％．The~llow—up periods range from 6 months to 66 months and no recurrence was observed，Conclusions Mesh—plug tension—free herniorrhaphy is a perfectly sound physiologic and anatomic operation．It is a simple and mini—traumatic procedure，with advantages of quick recovery，low recurrence rate and wide indications．It is especially suitable to elder patients． Key words：inguinal hernia；tension—free hemiorrhaphy 腹股沟疝是老年人的外科常见病，发病率远高于 病28例，前列腺增生症22例，糖尿病10例，轻度贫血 青壮年。我院自2002年1月至2006年12月采用美 2例，伴有2种或2种以上其它