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腹股沟疝应用Lichtenstein术式421例体会 被引量:1

The experience of Lichtenstein's tension free repair for inguinal hernia in 421 adult patients
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摘要 目的探讨成人腹股沟疝Lichtenstein术式的疗效.方法对我院自1996年12月~2003年12月421例各型腹股沟疝病人行462例次Lichtenstein术式无张力修补术的临床资料进行回顾性分析.结果本组有93%的病例得到随访,平均随访4年,仅有1例复发.本组病例术后疼痛轻微.术后发生局部血肿7例,伤口浅表感染4例.结论 Lichtenstein无张力修补术适用于各型成人腹股沟疝,术后疼痛轻微,复发率低. Objective To summarize the experience of Lichtenstein's procedure in adult patients with inguinal hernia. Methods The clinical data of 421 patients with variant types of inguinal hernia receiving 462 Lichtenstein's tension free repairs from Dec. 1996 to Dec. 2003 were analyzed retrospectively. Results 93% cases in this group were follow-up(average 4 years). Only one patient recurred. The postoperative pain was mild. Local hematoma and super incision infection occurred in 7 cases and 4 cases respectively. Conclusion Lichtenstein's tension free repair is applicable to variant type of adult patients with inguinal hernia with mild postoperative pain and lower recurrent rate.
出处 《腹部外科》 2005年第6期331-332,共2页 Journal of Abdominal Surgery
关键词 腹股沟 聚丙烯类 抗生素预防 治疗结果 Hernia, inguinal Polypropylenes Antibiotic prophylaxis Treatment outcome
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参考文献3

  • 1Andrew NK,Chirstine SP,David H.Lichtenstein patch or prefix plug-and-path in inguinal hrenia:A prospective double-blind randomized controlled trial of short-term outcome.Surgery,2000,127:276-283.
  • 2Amid PK,Shulman AG,Lichtenstein IL.Critical scruting of the open" tension-free" hernioplasty.Am J Surg,1993,165:369-371.
  • 3Yerdel MA,Akin EB,Dofaian S.Effect of single-dose prophylactic ampicillin and sulbactam on wound infection after tension-free inguinal hernia repair with polypropylene mesh,the randomized,double-blind,prospective trail.Ann Surg,2001,233:26-33.

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