改良自体组织无张力疝修补术的临床应用

目的:探讨不应用疝修补材料,行无张力疝修补术的可行性。方法:应用患者自体组织正确封闭或缩小内环口,然后用7号丝线将腹横机、腹内斜肌、腹外斜肌腱膜缝合为一体,使腹外斜肌腱膜下间隙消失(即腹股沟管消失)。结果:32例患者术后均无疼痛,术后随访未见复发。结论:改良自体组织无张力疝修补术简单、有效、价廉、可行。较应用疝修补材料行疝修补简单、费用低廉,值得推广。

Objective：Not use the hernia repairing materials to explore the tension-free hernia repair is feasible.Methods：Closed with autologous tissue or shrink the inner mouth correctly,then the doctor will suture the transverse plane,abdominal oblique,external oblique aponeurosis as a whole with the 7th silk,so that the gap under the external oblique aponeurosis disappears（ie,disappearance of the inguinal canal）.Results：32 patients had no pain after surgery and no recurrence.Conclusions：Modified autologous tissue tension-free hernia repair is simple,effective,inexpensive and feasible.This method is worth promoting.