平片无张力修补术在腹股沟斜疝、直疝中的应用

Application of Liechtenstein hernioplasty in the therapy of oblique or direct hernia

目的 探讨平片无张力修补术在治疗腹股沟斜疝、直疝中的价值。方法 回顾总结我院自 1998年 2月至 2 0 0 1年 6月行平片无张力修补术治疗腹股沟斜、直疝 16 3例患者的临床资料。其中腹股沟斜疝 15 4例 ,直疝 9例。初发疝 15 5例 ,复发疝 8例。疝环直径 <2 .5 cm 148例 ,疝环直径≥ 2 .5 cm 15例。急诊手术 12例。年龄 6 5岁以上占 30 .1%。结果 本组随访 6～ 36个月 ,术后5例复发 (3.1% ) ,无死亡 ,术后能早期下床活动 ,无局部牵拉感 ,疼痛轻 ,5～ 10 d恢复正常生活或工作。复发率较低。结论 平片无张力修补术在腹股沟斜疝、直疝的治疗中具有手术创伤小 ,患者恢复快 ,术后复发率较低 ,比疝环充填式无张力修补术费用低等优点。适用于初发性或复发性腹股沟斜疝、直疝和疝环较大但腹横筋膜无明显薄弱的腹股沟斜疝。

Objective To inquire into the value of Liechtenstein Hernioplasty in the therapy of oblique or direct hernia.Method Liechtenstein was used in the therapy of 163 cases of oblique hernia (154 cases) and direct hernia (9 cases) from Feb.1998 to Jun.2001 and the clinical data was retrospectively studied.Most of them are of onset hernia except 8 cases of recurrent hernia.In 148 cases,the diameter of hernia ring is less than 2.5 cm and 30.1% of patients are elder than 65.The emergent operation was adopted in 12 cases.Results Off-bed exercises can be admitted at early stage of postoperation with slight pain and no local tension.Total recovery was obtained in 5-10 days after operation.After 6-36 months' follow-up,no mortality and less recurrence was detected.Conclusions There are so many advantages to treat oblique or direct hernia with Liechtenstein, such as minimized trauma, accelerated recovery,low recurrence rate and low cost. The indication of this operation involved all kinds of hernia (onset or recurrence of oblique or direct hernia,emergent operation of incarcerated oblique hernia, etc).