摘要
目的探讨嵌顿性腹股沟疝患者的围手术期处理。方法收集新疆维吾尔自治区人民医院2013年10月至2015年10月收治的67例(78侧)嵌顿性或较窄腹股沟疝患者的临床资料,手术方式均为传统腹股沟疝修补术,其中Ferguson手术患者28例,Bassini手术患者16例,Halsted手术患者13例,Mc Vay手术患者10例,Shouldice手术患者9例。回顾性总结分析该类患者围手术期的处理措施。结果本组患者无围手术期死亡,术后平均随访10个月,出现切口感染6例,阴囊水肿5例,术后慢性疼痛5例,复发3例。结论嵌顿性腹股沟疝患者由于合并症较多且复杂使得手术风险大,难度高,但只要作好充分的术前准备,采用恰当的手术方式,术中谨慎、细致操作,及时处理术后出现的各种并发症,仍是安全可行的。
Objective To investigate the perioperative management of patients with incarcerated inguinal hernia. Methods A total of 67 patients（ 78 hernias） who received incarcerated inguinal hernia repair were included in the retrospective analysis from October 2013 to October 2015. All the surgical methods were traditional inguinal hernia repair, inculding 28 cases of Ferguson surgery,16 cases of Bassini surgery,13 cases of Halsted surgery,10 cases of Mc Vay surgery,9 case of Shouldice surgery.Results There were no perioperative deaths and serious complications. After 10 months follow-up,6 cases of incision infection and 5 cases of scrotal edema,5 cases of chronic pain and 3 cases recurrence occurred.Conclusions Incarcerated inguinal hernia repair is more risky and difficult due to the complications,but it is safe and feasible with sufficient preoperative preparation,appropriate operation practice,careful and meticulous perioperative management.
出处
《中华疝和腹壁外科杂志（电子版）》
2017年第5期390-391,共2页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
围手术期处理
Hernia, inguinal
Herniorrhaphy
Perioperative management
