摘要
目的:观察自制双平片全腹股沟肌耻骨孔无张力疝修补的效果。方法:90例腹股沟疝患者,随机分为2组。45例行自制双平片全腹股沟疝修补术(研究组),将1张自行裁剪的9cm×9cm的平片直视下放置于肌耻骨孔(myopectineal orifice)的腹膜前间隙,另1张6cm×9cm的平片放置于腹横筋膜、提睾肌之上,四周加以固定,封闭肌耻骨孔的缺损。另45例行疝环充填式无张力疝修补术(对照组)。结果:两组均随访3~4年,研究组患者无复发,无特殊并发症,术后疼痛分级和综合性价比均优于对照组(P<0.05)。结论:自制双平片全腹股沟疝修补术符合全腹股沟疝修补的工程力学要求,达到了无张力疝修补,手术操作简单,材料成本降低,术后效果优于疝环充填式无张力疝修补术。
Objective: To study the effect of entire myopectineal orifice hernioplasty with double patch. Methods: Ninety cases with inguinal hernia were randomly divided into two groups. Fourty-five cases were for the study group that entire myopectineal orifice hernioplasty with self-made double patch: a self-cutting 9 cm×9 cm patch in the preperitoneal space of myopectineal orifice and another 6 cm×9 cm patch on the transverse fascia and cremaster. The patch was fixed and the myopectineal orifice was closed. The other 45 cases were control group that mesh plug tension-free hernioplasty were applied. Result: No recurrence and special Commplications occurred in the study group after three to four-year follow-up; postoperative pain claSsification verbal rating scale were better than the control group (P〈0.05). Conclusion: The entire myopectineal orifice hernioplasty with self-made double patch was consistent with the engineering mechanical requirements of entire inguinal hernia repair, and achieved a tension'free hernia repair. Its procedure was simple and material cost was reduced.
出处
《中国现代普通外科进展》
CAS
2009年第4期294-298,共5页
Chinese Journal of Current Advances in General Surgery
关键词
疝
腹股沟
双平片
外科手术
Hernia, inguina · Double Patch · Surgical procedures, operative