充填式无张力疝修补术866例分析

Tension-free hernioplasty in 866 cases

目的:探讨充填式无张力疝修补术的治疗效果及术后并发症发生的原因和预防。方法:回顾分析866例成人腹股沟疝患者行充填式无张力修补术的临床资料,观察疗效及并发症情况。结果:浆液肿132例,发生率为15.24%;慢性疼痛6例,发生率为0.69%;异物感142例,发生率为16.40%;排异反应2例,发生率为0.23%;复发(再发疝)9例,发生率为1.03%,缺血性睾丸炎6例,发生率0.69%;术后出血35例,发生率4.04%。结论:采用充填式无张力疝修补术治疗成人腹股沟疝不干扰腹股沟区正常解剖、复发率低、并发症少。

Objective To study the effect of tension -free hernioplasty in the treatment and reason and prevention of postoperative com- plications. Method Retrospective analysis of the clinical data of 866 adult cases with tension - free repair of inguinal hernia of recent 12 years,observation of efficacy and complications. Results Swelling slurry in 132 cases, incidence of 15.24% ;chronic pain in 6 cases, inci- dence of 0. 69% ; foreign bodies in 142 cases, incidence of 16.40% ;rejection in 2 cases, prevalence of 0. 23% ;relapse （recurrence of her- nia） in 9 cases,incidence of 1.03%, ischemic orchitis in 6 cases, the incidence of 0. 69% ;postoperative hemorrhage in 35 cases, the incidence of 4. 04%. Conclusion The use of tension -free herniorrhaphy for adult inguinal hernia does not interfere with the normal anatomy, lower recurrence rates in the inguinal area ,fewer complications.