疝囊高位结扎无张力修补术治疗腹股沟疝的临床体会.docVIP

精品论文 参考文献 疝囊高位结扎无张力修补术治疗腹股沟疝的临床体会 朱晓刚 （苏州工业园区娄葑医院斜塘分院 江苏苏州 215123） 【摘要】目的 探讨疝囊高位结扎无张力修补术治疗腹股沟疝的临床效果和手术方法。方法 分析2010年1月至2012 年 3月在我院行疝囊高位结扎无张力疝修补术治疗的腹股沟疝46例患者的临床资料，并对所有患者随访1年，观察患者的手术时间、住院时间和术后并发症以及随访的复发率。结果 46例患者均顺利完成手术，其平均手术时间只有48min；患者术后12h全部可下床活动，而且术后恢复时间较快，基本都在住院3-8天后出院。术后只有一例出现阴囊血肿并发症，随访1年内无复发病例。结论 疝囊高位结扎加无张力疝修补术在治疗腹股沟疝方面具有手术时间短、术后恢复快、并发症和复发率低的优点，值得临床推广。 【关键词】 腹股沟疝 高位结扎 无张力修补术 临床效果 【中图分类号】R628 【文献标识码】A 【文章编号】2095-1752（2013）14-0109-02 Clinical Experience of sac high ligation combined with tension-free repair inguinal hernia ZHU Xiao-gang (Xie tang Branch of Lou feng Hospital， Suzhou Industrial Park， Suzhou 215123，China.) 【Abstract】Objective To evaluate the efficacy and surgical methods of sac high ligation combined with tension-free repair inguinal hernia. Methods Analysis the clinical data of 46 patients with inguinal hernia, who accepted the treatment of sac high ligation combined with tension-free repair, in our hospital during January 2010 to March 2012. All the patients were followed for 1 year, and recorded the time of surgery and hospitalization , complications, and the rate of recurrence.Results The 46 patients were all operated successfully. Their mean operation time was 48min. All patients could get out of bed 12h after surgery, and they recovered faster, all discharged during 3-8 days after surgery. There were only one people got the complications of scrotal hematoma, but none recurrence during the follow-up.Conclusion The sac high ligation combined with tension-free repair inguinal hernia had fewer time of surgery, fewer day of postoperative stay, and lower rate of complications and recurrence. Therefore it is an effective surgical method. 【Key words】 inguinal hernia high ligation tension-free repair clinical effect 腹股沟疝是普外科的常见疾病，约占腹外疝的90%以上[1]，其主要包括腹股沟直疝、斜疝和股疝。目前治疗腹股沟疝最有效的方法就是手术，但传统的疝修补术不注意保护组织的解剖结构，手术时间长、术后切口疼痛、并发症多、恢复慢、复发率高。目前随着人工材料的发展以及人们对对腹股沟疝修补术式的探索，无张力疝修补术已经成为腹股沟