前入路改良Kugel无张力疝修补术68例临床分析

Clinical Analysis with Anterior Approach Modified Kugel Mesh Tension-free Hernioplasty for 68 Cases

目的:探讨前入路改良Kugel无张力疝修补术的临床疗效。方法:68例腹股沟疝患者,全部使用前入路改良Kugel无张力疝修补术,观察手术时间、术后住院时间及术后并发症情况。结果:全部患者切口一期愈合,平均手术时间(70±5)min,平均出院时间(4.0±0.6)d。术后切口血清肿3例,腹膜前血肿1例,切口疼痛5例,阴囊肿胀3例,尿潴留3例,经保守治疗后痊愈。所有患者无切口感染、补片感染等。术后随访1~3年无复发。结论:前入路改良Kugel无张力疝修补术术后恢复快,并发症少,复发率低,值得在临床广泛推广。

Objective：To investigate clinical effect by modified Kugel mesh tension-free hernioplasty.Method：A total of 68 inguinal hernia patients all received modified Kugel mesh tension-free hernioplasty.Their operation time,postoperative hospital stay time and postoperative complications were observed.Result：All patients had primary healing wound,with mean operation time as（70±5）min and mean hospital stay time as（4.0±0.6）d.There were 3 cases with incision seroma,1 case with preperitoneal hematoma,5 cases with postoperative incision pain,3 cases with scrotum swelling,and 3 cases with uroschesis.They were all healed after conservative therapy.There was no case with incision infection ang mesh infection.Follow-up for 1-3 years showed no recurrent case.Conclusion：Anterior approach modified kugel mesh tension-free hernioplasty contains quick postoperative recovery,low complication rate and low recurrence rate.It is worth spreading widely in clinic.