与腹股沟疝分型相关的形态学新见解

Recent Progress on the Grouping of Inguinal Hernia

目的:在确定腹股沟疝分型的基础上对人体腹股沟区外科的局部解剖进行研究,从而指导临床医师实施合理的疝修补手术并提高其疗效。方法:对20例成年男性尸体标本的40侧腹股沟区进行了局部解剖研究;并对2002年9月至2007年12月施行的140例成年男性腹股沟疝无张力修补术的术中腹股沟区解剖进行了回顾性分析,所选病例的年龄范围为25～91岁,平均年龄为64.7岁。结果:腹股沟区有三个重要的解剖结构即腹横筋膜、髂耻束、耻骨肌孔与腹股沟疝分型有密切关系。结论:术中注意腹横筋膜、髂耻束、耻骨肌孔的局部解剖关系,合理实施无张力疝修补术,在现代腹股沟疝修补术的实施应用中具有重要的实用价值及指导意义。

Objective： To investigate the surgical topography of the inguinal region after the grouping of inguinal hernia, so surgeons could carry out the operative process of the hernioplasty to enhance the clinical effect. Methods： Two-side inguinal regions in twenty male corpse specimen were studied, and analysis of the inguinal regions was made for 140 male adults（aged from 25 to 91 years, with an average age of 64.7 years ）who were given tension-free hernioplasty in our hospital from September of 2002 to December of 2007. Results： There was relationship between the grouping of inguinal hernia and three important anatomic structure （transverse fascia, iliopubic tract and myopectineal orifice）. Conclusion： Tension-free hernioplasty at the proper time and close attention to the relationship of transverse fascia, iliopubic tract and myopectineal orifice had a great significance on modern inguinal hernioplasty.