期刊文献+

肾移植术后腹股沟疝患者12例临床诊治分析 被引量:1

Clinical diagnosis and treatment of inguinal hernia after renal transplantation
原文传递
导出
摘要 目的探讨应用不同补片进行无张力修补术治疗肾移植术后腹股沟疝的临床应用体会。方法对温州医科大学附属第一医院2008年7月至2014年7月期间收治的12例肾移植术后腹股沟疝患者临床资料进行回顾性分析。结果 12例患者肾移植术后出现腹股沟疝的中位时间为72个月;腹股沟疝类型包括斜疝9例,直疝2例,斜疝合并直疝1例,均为单侧。患者均在疝确诊后6-12个月内手术治疗,10例使用聚丙烯疝补片行Lichtenstein平片修补术,2例使用超普疝修补装置(UHS)行疝环充填式无张力修补术,平均手术时间(54±26)min。1例UHS修补斜疝合并直疝术中损伤移植输尿管,行移植输尿管膀胱再植。术后切口疼痛3例,阴囊积液1例。截至2014年7月,术后随访12-32个月,肾功能均无明显变化,未观察到切口感染、疝复发、异物不适感、睾丸萎缩、射精痛及慢性疼痛等并发症。结论肾移植术后腹股沟疝患者使用传统聚丙烯疝补片行Lichtenstein平片修补术对移植肾影响较小,应用UHS行疝环充填式无张力修补术中易损伤移植输尿管。 Objective To explore the clinical application experience of tension-free herniorrhaphy with different patch for inguinal hernia after renal transplantation. Method A retrospective study was performed on 12 patients with inguinal hernia after renal transplantation between2008 and 2014 at the First Affiliated Hospital of Wenzhou Medical University. Results The median time when 12 cases occured inguinal hernia was 72 months after renal transplantation. A total of 12 patients underwent tension-free herniorrhaphy of inguinal hernia,9 of indirect inguinal hernia,2 of direct inguinal hernia,1 of indirect inguinal hernia with hernia. All hernias were unilateral,no recurrence after operation. The operation time was average 54 ± 26 min,including 10 cases using of Lichtenstein flat patch method with Johnson polypropylene hernia patch,2 using inguinal hernia ring filling tension-free herniorrhaphy with ULTRAPRO  hernia system( UHS) repair. One patient underwent reimplantation operation of ureter bladder,because transplant ureter was injured during UHS repair of indirect inguinal hernia with hernia. All patients were maintained follow-up with a follow-up time from 12 to 32 months. Postoperative renal function were not changed significantly,3 cases of postoperative wound pain,1 of scrotal hydrocele. No complications such as incision infection hernia recurrence,foreign body discomfort, testicular atrophy, ejaculation pain and chronic pain were observed. Conclusion The treatment of inguinal hernia after renal transplantation by using traditional polypropylene hernia tension-free herniorrhaphy is preferred.
出处 《中华移植杂志(电子版)》 CAS 2015年第3期118-122,共5页 Chinese Journal of Transplantation(Electronic Edition)
基金 浙江省自然科学基金青年基金项目(LQ13H100003) 温州市科技计划项目(Y20120158)
关键词 腹股沟疝 修补手术 肾移植 Inguinal hernia Tension-free herniorrhaphy Renal transplantation
  • 相关文献

参考文献12

  • 1Simons MP, Aufenacker T, Bay-Nielsen M, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients [Jl. Hernia, 2009,13(4):343-403.
  • 2Abe T, Shinohara N, Harabayashi T, et al. Postoperative inguinal hernia after radical prostatectomy for prostate cancer J ]. Urology, 2007,69(2) :326-329.
  • 3陈双,杨斌,江志鹏,张育超,周军.欧洲疝学会《成人腹股沟疝治疗指南》的解读[J].中华疝和腹壁外科杂志(电子版),2011,5(2):74-76. 被引量:91
  • 4陈双.腹股沟疝发生机制的思考与探讨[J].中华外科杂志,2007,45(21):1444-1445. 被引量:13
  • 5张志斌,孙桂森,谷川.平片无张力疝修补术治疗肾移植术后腹股沟滑疝效果观察[J].山东医药,2015,55(8):75-76. 被引量:9
  • 6纪光伟,黄安,彭林,周戈,夏甘霖.Lichtenstein无张力疝修补术(附33例报告)[J].中华疝和腹壁外科杂志(电子版),2009,3(2):25-26. 被引量:6
  • 7Uen YH, Wen KC. An improved method for deploying the polypropylene underlay patch of the PROLENE Hernia System [ J ]. Am Surg, 2007,73 (5) :468-471.
  • 8FitzgibhonsRJ,GreenburgAG.疝外科学[M].马颂章主译.北京:人民卫生出版社,2003:130—131.
  • 9Read RC. Crucial steps in the evolution of the preperitoneal approaches to the groin : an historical review [ J ]. Hernia, 2011,15 (1) :1-5.
  • 10Maillart JF, Vantoumhoudt P, Piret-Gerard G, et al. Transinguinal preperitoneal groin hernia repair using a preperitoneal mesh preformed with a permanent memory ring : a good alternative to Lichtenstein' s technique[Jl. Hernia, 2011,15(3) :289-295.

二级参考文献44

  • 1陈杰,那冬鸣,申英末.局部神经阻滞麻醉下内置弹力记忆环(Kugel补片)的腹膜前无张力疝修补术[J].中华腹部疾病杂志,2004,4(12):865-867. 被引量:24
  • 2罗成华,李基业,沈笛,孔庆龙,吴欣.前入路腹膜前放置Kugel补片修补治疗腹股沟疝(附45例报告)[J].外科理论与实践,2005,10(2):151-153. 被引量:20
  • 3李悦,洪楚原,陈德.经内环入路放置Kugel补片治疗腹股沟疝[J].中国内镜杂志,2005,11(10):1059-1061. 被引量:15
  • 4Simons MP,Aufenacker T,Bay-Nielsen M.European Hernia Society guidelines on the treatment of inguinal hernia in adult patients.Hernia,2009,13:343-403.
  • 5Primatesta P,Goldacre MJ.Inguinal hernia repair:incidence of elective and emergency surgery,readmission and mortality.Int J Epidemiol,1996,25:835-839.
  • 6Post S.Against the principle surgical indications in inguinalhernia.Chirurg,1997,68:1251-1255.
  • 7Kraft BM,Kolb H,Kuckuk B,et al.Diagnosis and classification of inguinal hernias.Surg Endosc,2003,17:2021-2024.
  • 8Garner JP,Patel S,Glaves J,et al.Is herniography useful? Hernia,2006,10:66-69.
  • 9Abe T,Shinohara N,Harabayashi T,et al.Postoperative inguinal hernia after radical prostatectomy for prostate cancer.Urology,2007,69:326-329.
  • 10Beets GL,Oosterhuis KJ,Go PM,et al.Longterm followup (12~15 years) of a randomizedcontrolled trial comparing Bassini-Stetten,Shouldice,and high ligation with narrowing of the internal ring for primary inguinal hernia repair.J Am Coll Surg,1997,185:352-357.

共引文献133

引证文献1

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部