疝环充填式无张力疝修补术治疗腹股沟疝80例

Mesh Plug Tension-free Hernia Repair in Treatment of 80 Cases of Inguinal Hernia

目的总结应用疝环充填式无张力疝修补术治疗腹股沟疝80例的临床经验。方法使用美国巴德公司生产的疝环充填物及网状补片对80例各类腹股沟疝患者行无张力疝修补治疗,观察手术时间、伤口疼痛情况、手术后自主能力恢复情况、并发症发生情况及复发率。结果全部病例手术过程顺利,手术时间30～70min,平均45min,术后8～24h下床活动,无1例术后使用止痛剂,切口疼痛轻。术后并发尿潴留3例,阴囊血肿1例,阴囊积液1例,均对症处理好转,全部切口均I期愈合,未发生感染、排斥反应。随诊4～32个月,平均19个月,未见复发病例。结论疝环充填式无张力疝修补术操作简单,术后恢复快,复发率低,疗效肯定,值得推广使用。

Objective To summarize the clinical experience of hernia ring filling tension-free hernia repair for inguinal hernia in 80 cases.Methods Using the United States produced Bard hernia mesh ring filling and patch inguinal hernia in 80 patients treated with various types of tension-free hernia repair treatment,observe operation time,wound pain,postoperative recovery of autonomy,complications occurrence and recurrence rate.Results All patients surgery went smoothly,the opera-tion time 30min ～70min,an average of 45min,8h ～24h after getting out of bed,not one case of post-operative analgesics,incision pain,light.3 cases of postoperative urinary retention,scrotal hematoma in 1 case,1 case of scrotal fluid,symptomatic treatment improved,all the incisions were I of healing,no infection,rejection.Followed up for 4 months to 32 months,an average of 19 months,no recur-rence.Conclusion Mesh plug hernia repair without tension is simple,rapid recovery,low recurrence rate,more effective,be widely used.