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平片无张力疝修补术治疗嵌顿性腹股沟疝(附45例报告)
引用本文:吴文辉,周军,汤友珍,肖隆斌,许峰峰. 平片无张力疝修补术治疗嵌顿性腹股沟疝(附45例报告)[J]. 岭南现代临床外科, 2008, 8(5): 382-383
作者姓名:吴文辉  周军  汤友珍  肖隆斌  许峰峰
作者单位:中山大学附属第一医院黄埔院区普外二科,510700;中山大学附属第二医院胃肠外科,510120
摘    要:目的探讨平片无张力疝修补术在治疗嵌顿性腹股沟疝的临床价值。方法回顾性分析平片无张力疝修补术治疗45例嵌顿性腹股沟疝的临床资料。观察其补片感染等并发症及复发情况。结果45例手术均顺利,无术后死亡。6例术后出现急性尿潴留,3例出现阴囊或切口血清肿,全部病人均获得随访,随访时间为3~40个月,无复发。结论用平片无张力疝修补手治疗嵌顿性腹股沟疝是安全而有效的,可避免二期再行修补术。

关 键 词:腹股沟斜疝  嵌顿  疝修补术

Lichtenstein tension-free herniorrhaphy in the treatment of incarcerated inguinal hernia (A report of 45 cases)
Affiliation:Wu Wenhui, Tang Youzhen, Xiao Longbin, Xu Fengfeng,Zhou jun(Department of general surgery, Huangpu Hospital of The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510700; 2.Department of Gastro-intestinal Surgery, The Second Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510120)
Abstract:Objective To investigate the clinical value of Lichtenstein tension-free herniorrhaphy in the treatment of incarcerated inguinal hernia. Methods From January 2002 to December 2006, the clinical data of 45 cases with incarcerated inguinal hernia received Lichtenstein tension-free herniorrhaphy were analyed retrospectively. The postoperative complications, such as patch infection and recurrence rate were observed. Results There were no postoperative death. 6 cases had acute uroschesis and 3 cases had scrotal or incisional seroma after operation. Follow-up was got in all cases. The follow-up period ranged from 3 to 40 months, and no recurrence was found. Conclusion Lichtenstein tension-free herniorrhaphy is safety and effective for the treatment of incarcerated inguinal hernia. And it would avoid the secondary operation.
Keywords:Indirect inguinal hernia  Incarceration  Herniorrhaphy
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