单层平片修补及薇荞缝线皮内缝合在腹股沟疝及股疝中应用的临床价值

The Clinical Value of Single-layer Even Piece Patching and the Vicryl Intracutaneous Suture in Inguinal Hernia and Femoral Hernia

目的探讨单层平片修补及薇荞缝线皮内缝合在腹股沟疝及股疝中的应用价值。方法对我院2008年5月至2010年5月实施的115例腹股沟疝及股疝平片修补术进行回顾性分析。结果 115例腹股沟疝及股疝平片修补术全部成功,无复发;手术时间30～80min(平均45min)/每例。住院时间5～8天(平均5.4天)。术后阴囊,会阴肿胀疼痛5例,切口硬节为15例,异物感12例,3月后均消失。115例全部治愈,随访6～24个月无并发症,无复发,劳动力恢复。结论单层平片修补结合薇荞缝线皮内缝合术可缩短住院时间、减少痛苦,只需具备一般传统疝修补技术,它是治疗腹股沟疝及股疝可行、安全、有效的方法。

Objective To probe into the application values of monolayer flat patch and Vicryl intradermal suture in inguinal hernia and femoral hernia. Methods Piece plastic operation was used in the therapy of 115 cases with inguinal hernia and femoral hernia from May 2008 to May 2010 and the clinical data was retrospectively analyzed. Results Success was achieved in all of the 115 cases,and no recurrence happened. Operation time was 30 ～ 80 min（average 45 min） /each case. The length of hospital stay was 5 ～ 8 days（average 5.4 days） . 5 cases with scrotum and perineum swelled and pained after surgery,15 cases occured incision cheilocace,12 cases had foreign body sensation,the symptoms disappeared after 3 months. 115 cases were cured completely without complications and relapse during 6 ～ 24 months follow-up,and had recovered physical strength. Conclusion The use of monolayer flat patch combined with Vicryl intradermal suture shortens hospital stays and reduces ache,it is a feasible,safe and effective method in treating inguinal hernia and femoral hernia,and surgeon who only has traditional hernia repair technique can perform the operation.