548例腹股沟疝的治疗

Experience in Surgical Treatment of Inguinal Hernia

1975年至1988年间收治腹股沟疝548例,男(91.6％)多于女,小儿(53.6％)多于成人;斜疝(98.9％)多见,直疝仅为1.1％。斜疝以右侧多见,但直疝多发于左侧。嵌顿疝发生率为10.8％,均系斜疝引起。难复性疝14例,其中7例属滑动疝。除2.6％复发疝外,均系首次手术病例,手术死亡率为0.2％,术后复发率1.09％。作者认为疝囊高位结扎、缝缩内环以及合理地加强腹股沟管壁,尤其加强后壁,是防止术后疝复发的主要因素。

548 cases of inguinal hernia were treated at the Department of General Surgery, Affiliated Hospital, during a 13-yearperiod from 1975 to 1988. The results showed that there were more male(91.6％)than female and more children (53.6％) than adults. In 548 cases of inguinal hernia, the incidence of indirect hernia was 98.9％; direct hernia, only 1.1％. Large am ount ind hernias occured on the right inguen, but direct hernias, on the left. The incidence of incarated hernias all caused by indirect hernias was 10.8％. Out of 14 cases of irreducible hernia, 7 cases belongs to sliding hernia. Apart from 2.6％ of recurrent hernia, all cases were firstly operated and the operative mortality was 0.2％. The recurrent rate of hernia after operation was 10.9％. It is stressed that the main step to prevent recurrent herina from happening is to suture the inner ring and strengthen rationally the inguinal canal walls, especially the posterior wall, in the high ligation of hernia sac.