摘要
目的探讨改良型Kugel补片在腹股沟疝无张力修补术中的价值。方法回顾性总结和分析自2006年4月至2009年4月间共计81例应用改良型Kugel补片治疗原发性腹股沟疝的应用体会。结果本组81例,斜疝63例,直疝18例,Ⅱ型疝24例,Ⅲ型57例。81例术后随访到100%,间期为2至14个月,平均7.8个月。术后伤口感觉疼痛占27.2%(22/81),阴囊水肿占3.7%(3/81),腹股沟不适的情况,异物感2.5%(2/81),无切口、深部感染、复发,腹股沟感觉异常、睾丸萎缩、射精痛等并发症。结论改良型Kugel补片能有效降低术后复发率,特别对于一些后壁缺损较大的患者具有一定的应用价值。
Objective To approach the value of tension-free inguinal hernioplasty using the Modified Kugel patch. Methods Retrospective reviewed and analyze the experience of using the modified Kugel patch in the treatment of 81 cases primary inguinal hernia from April 2006 to April 2009.Results The group of 81patients, 63 cases of oblique hernia, 18 cases of direct hernia, 24 cases of Ⅱ-type hernia, 57 Ⅲ-type cases. 81 cases were followed-up with the rate of 100%,and for 2-14 months with the average of 7.8 month.22 cases of Postoperative wound pain, 3 case of scrotum effusion,2 case of inguinal area Foreign body Malaise, No case of incision and deep infection, recurrence, inguinal skin paresthesia, chronic pain, testicular atrophy, ejaculatory pain and other complications occurred.Conclusion The Modified Kugel patch can effectively reduce the postoperative recurrence rate, especially for some patients with greater posterior wall defect, it can provide certain application value.
出处
《湖南中医药大学学报》
CAS
2010年第12期42-43,61,共3页
Journal of Hunan University of Chinese Medicine