老年腹股沟疝充填式无张力修补术34例临床分析

Clinical analysis of mesh-plug tension-free hernioplasty in 34 aged inguinal hernias

目的:总结充填式无张力修补术治疗老年腹股沟疝的临床效果。方法:回顾性分析2000年4月￣2005年5月应用充填式无张力修补术治疗老年腹股沟疝34例临床资料。全部采用BardPerfixPlug定型产品行充填式无张力修补术。结果:全部病人均手术成功,手术时间40￣130分钟,术后4￣6小时即下床活动。术后并发阴囊积液2例,后自行消失;尿潴留2例,经保留导尿2日后自行恢复排尿;腹股沟区异物感3例,无1例切口感染。术后随访9￣61月,无1例复发。结论:充填式无张力修补术操作简单、创伤小、恢复快、术后复发率低,尤其适合老年和(或)伴有其它疾病者。

Objective To summarize the clinical effects of mesh-plug tension-free hernioplasty in aged patients. Methods The clinical data of mesh-plug tension-free hernioplasty in aged patients performed during the period from Fed 2000 to May 2005 were analyzed retrospectively. Results All cases were operated successfully the average time of operation was 51 （40-130）mins the patients could move 4-6 hours after operation . Two had scrotal hudroceles, two had retentions of urine and wound infection occurred. 9-61 months of follow up three had feeling of foreign matter in the groin region. No were taken, and no relapse occurred. Conclusion Mesh-plug tension-free hernioplasty is easy to be administered with minor injury, prompt recovery and lower recurrence.It is especially suitable to aged patients and/or patients with other diseases.