经前入路腹膜前修补术治疗腹股沟疝256例分析

Anterior approach preperitoneal groin hernioplasty in inguinal hernias(A report of 256 cases)

目的：探讨经前入路腹膜前修补术治疗腹股沟疝的临床治疗效果。方法：回顾性分析自2007年1月至2012年6月间本院所做的256例接受经前入路腹膜前修补术的病例，对手术时间、术后住院时间、术后随访等情况进行分析。结果：本组256例共302侧，Ⅱ型148侧，Ⅲ型139侧，Ⅳ型15侧，手术时间平均（58±13）min，术后随访189例，随访率达73．8％，随访时间1～37个月，平均（14．2±2．3）月。术后26例阴囊水肿，手术区域慢性疼痛12例，复发2例，复发率为0．7％。未见手术区域深部感染、补片异物反应、睾丸并发症、性功能异常等。结论：经前入路腹膜前修补术手术时间短，术后疼痛少，恢复快，并发症发生率低，是腹股沟疝理想的修补术式。

Objective： To evaluate the effect of open preperitoneal groin hernioplasty in inguinal hernia.Methods： A retrospcetive study was made to analyze the experience of performing anterior approach preperitoneal groin hernioplasty for 256 patients between January 2007 to June 2012. Results： There were 148 typelI,139 type Ⅲ,15 typelV hernias in the series. The average operation time was 58 rain. 189 patients were followed up for 1-37months, the rate of follow-up was 73.8%. Hydrocele was fond in 26 patients, there were 12 patients of chronic pain in the inguinal area, and 2 patients of recurrence. None of infection, atrophy of testis occurred. Conclusion： The Anterior approach preperitoneal tension-free hernioplasty is advantageous in low tension, short operation time, less postoperative pain, fast recovery and few complications. It is an ideal procedure for patients with inguinal hernia.