371例老年人腹股沟疝无张力疝修补术的临床经验

Tension-free repairment of inguinal hernia in 371 aged patients

目的探讨老年人腹股沟疝无张力疝修补术的临床经验。方法回顾分析 1999年1月至 2 0 0 2年 10月收治的 371例老年腹股沟疝的临床资料。结果本组全部治愈。术后痛苦小 ,98%以上患者不用止痛剂 ,下床活动早 ,恢复快 ,并发症少。随访 1～ 4 6个月 ,复发 1例 ,复发率0 2 7%。结论无张力修补术保持了腹股沟管的正常解剖结构 ,术中注意修补材料的正确使用和术式“个体化” ,可进一步提高治愈率 ,有效降低术后复发率。适合于老年人疝的外科治疗。

Objective To evaluate the tension-free repairment of inguinal hernia in aged patients. Methods From January 1999 to October 2002, 371 elder inguinal hernia patients underwent tension-free repairement using Bard Mesh PerFix Plug and Prolene Hernia System (PHS). Results All patients were cured with less pain, early up and around and no major complications. Postoperative 1 to 46 months of follow up found recurrence in one case. Conclusion Tension-free repair of inguinal hernia preserves normal constructure of inguinal canal anatomy and physiology, and suits aged patients well if performed correctly and on case-to-case basis.