无张力疝修补术在腹股沟嵌顿疝治疗中应用体会

The Application Experience of Tension-free Herniorrhaphy in Treatment of Incarcerated Inguinal Hernia

目的:探讨无张力疝修补术治疗成人腹股沟嵌顿疝的临床效果。方法:回顾性分析46例疝环充填式无张力修补术治疗腹股沟嵌顿疝的临床资料。结果:46例手术过程均顺利。手术时间30～60min,平均40min,90%以上的患者在术后12h即可下床活动,无切口感染和排异反应。术后随访6个月,无复发病例。结论:无张力疝修补术在治疗成人腹股沟嵌顿疝有良好效果。

Objective：To evaluate the clinical effects of tension-free herniorrhaphy in treatment of incarcerated inguinal hernia in adults. Methods：A retrospective study was made on analysing the clinical data of 46 eases of incarcerated inguinal hernia by mesh-plug hernia repair. Results：All the operatons were successfully.Theses operations lasted 30-60minutes,and average time was 40 minutes.Over 90% patients could get up 12 hours post operation.There was no infection of incisional wound,rejection of foreign materials.All the patients were followed-up for six months,no hernia recur.Conclusion：Tension-free herniorrhaphy is an ideal method in treatment of incarcerated inguinal hernia in adults.