摘要
目的回顾性分析膨体聚四氟乙烯平片Lichtenstein法修补腹股沟疝的治疗方法。方法 2000年8月至2006年4月期间512例腹股沟疝患者采用美国Gore-Tex公司的Mycromesh平片行无张力疝修补术。男:489例,女:23例。年龄最大96岁,最小16岁,平均59.7岁。左侧:173例,右侧:305例,双侧:34例。Ⅰ型疝100例(19.5%),Ⅱ型疝352例(68.8%),Ⅲ型疝32例(6.3%),Ⅳ型28例(5.5%)(中华疝学组2001年10月的腹股沟疝分级标准)。连续硬膜外麻醉,手术方法按照标准前入路Lichtenstein法操作。结果全部病例手术成功。平均手术时间94.9 min,术后平均住院时间4.4 d,术后并发症45例(8.8%),术后因深静脉栓塞(DVT)致肺动脉栓塞死亡1例(0.2%),术后平均随访31.2个月。随访期内无复发病例。结论本术式外科医生容易掌握,手术简单,效果肯定,基本可以满足临床各种情况下的腹股沟疝无张力修补需要。
Objective To review heriorrhaphy with ePTFE mesh for inguinal hernia. Methods 512 patients with inguinal hernia had tesion-free repair by Myeromesh of Gore-Tex Co. （USA） from 2000-8 to 2006- 4. M ： 489cases, F： 23eases. age average 59.7. Left ： 173, Right ： 305, Bilateral： 34. Ⅰ type ： 100 （ 19.5% ）, Ⅱ type：352（68.8% ）, Ⅲ type：32 （6.3%）, Ⅳ type：28 （5.5%）. Open Liehtenstein repair were performed. Results The patients were finished successfully on aii the patients. Average length of stay post-operate was 4.4 days. Complacations 45 patients（8.8% ）. One patient （0.2%）with embolism of pulmonary artery died in 5th day after operation. Mean follow-up 31,2 month, no recurrent ease. Conclusions The herniorrhaphy is simple, easy, safe and effective for surgeons and patients.
出处
《中华疝和腹壁外科杂志（电子版）》
2007年第2期90-92,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
外科手术
疝修补术
膨体聚四氟乙烯
Hernia, inguinal
Surgical procedures, operative
Herniorrhaphy
Expanded polytetrafluoroethylene
