多次手术与腹股沟疝术后血清肿关系的临床分析

The Clinical analyses about the connection of seroma and multiple operations in the inguinal hernia operations

目的探讨血清肿的发生与手术创伤的关系。方法选取腹股沟疝手术患者93例,所有患者均完整剥除疝囊,分成3组。A组:应用普里灵疝修补装置的无张力修补术38例;B组:复发疝2次手术组,第1次手术采用前入路传统疝修补术而复发,第2次采用前入路采用普里灵疝修补装置,共30例;C组:复发疝3次手术,第1次及第2次手术采用前入路传统疝修补术而复发,本次采用前入路手术应用普里灵疝修补装置的无张力修补术,共25例;以手术次数代表手术创伤大小,观察与血清肿发生率的关系。结果A组无血清肿发生,B组血清肿发生率为26.7%,C组血清肿发生率为40%。结论手术次数增加导致的腹股沟解剖结构紊乱使手术创伤增加,并与血清肿的发生有关。

Objective To investigate the connection of seroma and the operation trauma after inguinal hernia. Methods Selected the 93 cases of inguinal hernia operations, which had been removed the hernial sac and were divided into 3 groups, the A group had 38 cases, and all of them were the first operation cases and their operations were tension -free hernioplasty with the prolene hernia system ;The B group had 30 cases, and all of them were the second operation cases, which recured after the first operations of traditional herniorrhaphy through anterior ap- proach, and the second operations were the tension - free hernioplasty with the prolene hernia system ; the C group had 25 cases, and all of them were the third operation cases, which recured after the first and the second operations of traditional herniorrhaphy, and the third operations were the tension -free hernioplasty with the prolene hernia system ;the operation times represent the trauma, observed connection between the seroma incidence and the trauma. Results The A group had no seroma,the B group＇s seroma incidence was 26.7% ,and the C group＇s seroma inci- dence was 40%. Conclusion The more operations make more anatomical disorder of the inguen and result in more operation trauma, and is in connection with seroma.