男性股疝临床诊治分析:附37例报告

Diagnosis and treatment of femoral hernia in males:a report of 37 cases

目的探讨男性股疝发病特点、诊断及治疗方法。方法对近9年间我科收治的37例男性股疝病例的临床资料进行回顾性分析。结果 37例表现为腹股沟韧带下方可复性肿块,右侧24例,左侧13例;伴有胀痛不适29例,发生嵌顿绞窄19例,合并肠梗阻7例。除2例保守治疗外,余35例行手术治疗,行McVay疝修补术19例,无张力疝修补术13例,经股部股疝修补术3例;术后随访6个月至5年均无复发。结论男性股疝相对较少,临床症状和体征是诊断的关键,超声可协助诊断,手术修补是唯一有效手段。

Objective To study the clinical characteristics,diagnosis and treatment of femoral hernia in males.Methods The clinical data of 37 cases of femoral hernia in males admitted to our department in the last nine years were analyzed retrospectively.Results The clinical manifestations of femoral hernia in males included a reducible mass below the inguinal ligament in all 37 cases,on the right side in 24 cases,and the left side in 13 cases; inguinal pain in 29 cases,incarceration or strangulation in 19 cases,and gut incarceraion with bowel obstruction in 7 cases.Herniorrhaphy was performed in 35 of the patients,including.McVay repair performed in 19 cases,tension-free hernioplasty performed in 13 cases,and femoral herniorrhaphy through an incision below the inguinal ligament performed in 3 cases.All the cases were followed up for 6 months to 5 years,no recurrence was found.Conclusions The diagnosis of in males femoral hernia can be made according to clinical symptoms and signs.Doppler ultrasound examination is helpful for diagnosis of femoral hernia.Herniorrhaphy is the only effective means of treatment of femoral hernia.