平片无张力腹股沟疝修补术的应用价值

The Application Worth of Mesh Tension-free Repair of Lnguinal Hernia

目的:探讨平片无张力腹股沟疝修补术的操作方法及应用价值。方法:对我院1995年3月至2006年6月160例使用传统疝修补术,及52例平片无张力腹股沟疝修补术的病人进行分析。结果:212例患者全部治愈。平片无张力腹股沟疝修补术52例,手术时间平均42 min;术后平均9 h开始下床活动,平均住院6.5 d;术后发生尿潴留2例(3.8%),术后应用止痛剂6例(11.5%),术后阴囊肿胀1例,无伤口感染、阴囊积液等并发症;术后随访无复发。传统疝修补术160例,手术时间平均53 min;术后平均74h开始下床活动,平均住院11.8 d;术后发生尿潴留10例(6.25%),术后应用止痛剂53例(33.1%),术后阴囊肿胀1例,无伤口感染、阴囊积液等并发症;术后随访复发15例(9.4%)。结论:平片无张力腹股沟疝修补术能满足修补和加强耻骨肌孔区域的解剖学要求,对于巨大疝、复发疝、复合疝和老年疝的修补尤为适用。与传统疝修补术相比具有明显优势。

Objective. To approach the Hernia and the method of operation. application worth of Mesh Tension-free Repair of Inguinal Methods： Fifty-two patients who were operated on with Mesh Tension-free Repair of Inguinal Hernia and 160 patients who were provided a traditional repair method were analyzed during the period of 1995,3 -2006,6 in our hospital. Results： All patients were cured. There were fifty-two patients operated with Mesh Tension-free Repair of Inguinal Hernia. The operation mean time were 42 minutes. The mean time of getting out of bed was nine hours after operation. The mean hospitalization time was 6.5 days. There were two patients with uroschesis（3.8%）. There were six patients to utilize the anodyne（11. 5% ）. There was a patient with scrotal swelling after operation and no complication about wound infection and scrotal hydrocele and no recurrence after operation follow-up visit. There were one hundred and sixty patiens were operated with the repair of hernia. The operation mean time was fifty-three minutes. The mean time of getting out of bed was seventy-four hours after operation. The mean hospitalization time was 11.8 days. There were ten patients with uroschesis（6. 25%）. There were fifty-three patients to utilize the anodyne（33.1%）. There was a patient with scrotal swelling after operation and no complication about wound infection and scrotal hydrocele and 15 recurrence patients after operation follow-up visit（9.4%）. Conclusion： Mesh Tension-free Repair of Inguinal Hernia may be fit the anatomy to repair and enhance the pectineus porose area and apply to the great hernia and recurrence hernia and the compound hernia and presby-hernia especially. There are obviously ascendancy to compare the herniorrhaphy.