Lichtenstien修补术治疗老年腹股沟疝36例回顾

Lichtenstien inguinal hernia repair in 36 cases of senile review

目的总结开展李金斯坦(Lichtenstien)腹股沟疝无张力疝修补术治疗老年腹股沟疝的临床经验。方法 36例老年腹股沟疝患者采用Lichtenstein无张力疝修补术治疗,对其操作方法的要求、关键步骤和难点处理进行讨论。结果 36例患者经Lichtenstien修补术治疗均痊愈出院,35例获得随访,术后出现阴囊水肿1例,血肿2例,术后20个月慢性疼痛1例,分别给予穿刺引流、物理及止痛药物等治疗后痊愈;疼痛缓解,无复发病例。结论掌握Lichtenstien无张力疝修补术的规范化操作,能达到最佳的治疗效果,术后恢复快,并发症少,费用低,适合基层医院推广应用。

Objective To summarize the lichtenstein inguinal hernia tension-free hernia repair inguinal hernia 36 cases of elderly patients clinical experience. Methods 36 cases of elderly inguinal hernia repair using the Lichtenstein tension-free hernia surgery, surgical operation method for Lichtenstien requirements, key steps and dittqcult process for discussion. Results 36 patients underwent Lichtenstien repair treatment were cured, 97.2% （35/36） patients were followed up for postoperative scrotal hematoma, seroma two cases, after 20 months of chronic pain one case, were given puncture and drainage, physical therapy and pain medication cure,pain relief, no recurrence. Conclusion Mastering Lichtenstien hernia repair surgery standardized operation,to achieve the best therapeutic effect, rapid postoperative recovery, fewer complications, low cost, suitable for primary hospital application.