提睾肌与精索内筋膜在腹股沟疝修补术中的应用

Utilization of Cremaster and Internal Spermatic Fascia in Inguinal Hernioplasty

目的探讨利用提睾肌与精索内筋膜进一步加强腹股沟管后壁在腹股沟疝修补术中应用的可行性及临床疗效.方法对83例成年男性原发性腹股沟疝施行Bassini修补术时,再用提睾肌与精索内筋膜加强腹股沟管后壁的临床效果进行观察及随访.结果本组无切口感染、阴囊血肿、睾丸萎缩及射精痛病例,无手术死亡.随访1～6年,复发1例. 结论在施行成年男性原发性腹股沟疝修补术时,利用提睾肌与精索内筋膜进一步加强腹股沟管后壁是可行的,这有助于降低原发性腹股沟疝行Bassini修补术后的复发率.

Objective To investigate the clinical applied value and possibility of using the cremaster and internal spermatic fascia to enhance inguinal region rear in inguinal hernioplasty. Methods The crernaster and internal sperrnatic fascia were used to enhance inguinal region rear in Bassini hernioplasty in 83 primary inguinal hernia cases. Results No dead case in operation and no case with incision infected, hematocele, testis atrophy, or ejaculatory pain. The following - up found one recurrent case. Conclusions In hernioplasty on male primary inguinal hernia, the crernaster and internal sperrnatic fascia can be used to enhance inguinal region rear and decrease the recurrence rate.