悬吊疝囊残端与无张力修补联合治疗腹股沟疝的临床研究

Suspension and tension-free hernia repair stump treatment for adult patients with hernia

目的 总结应用悬吊疝囊残端与无张力修补联合治疗成人腹股沟疝的临床经验及疗效.方法 回顾性分析2009年6月至2012年12月在秭归县人民医院应用悬吊疝囊残端与无张力修补联合治疗腹股沟疝90例的临床资料.结果 本组患者手术均获成功,手术时间为45～60 min,住院时间8～10 d.术后4～6 h进饮食,术后1～2 d下床活动.全组患者术后切口均愈合良好,未出现局部疼痛及切口麻木不适等.切口出现发红2例,换药处理好转,无感染.全组患者无异物反应.随访5个月至3年,无复发.结论 应用悬吊疝囊残端与无张力疝修补联合治疗成人腹股沟疝具有手术方法简单,手术操作不复杂,手术过程安全可靠,并且具有恢复快,并发症少,复发率低,疗效满意等优点.

Objective To summarize the suspension sac stump and joint use of tension-free repair in the patients with inguinal hernia. Methods A retrospective analysis of clinical data of 90 patients from June 2009 to December 2012 in Zigui People＇s Hospital was applied to explore suspension sac stump and joint use of tension-free hernia repair in the patients with inguinal hernia treatment. Results The operations were successful. The operation time lasted 45 to 60 minutes and hospitalization time was 8 to 10 days. The diet was recovered after 4 to 6 hours and after 1 to 2 hours, the activities were initiated. All patients incisions healed well. Localized pain and numbness incision discomfort were not observed. There were two cases of incision redness, and recovered after dressing. No infection was found. All the patients were no foreign body reaction. The group of 90 cases followed five months to three years, no recurrence was observed. Conclusion The operation is simle and safe with rapid recovery and less complications.