肝硬化并腹股沟疝无张力疝修补术（42例临床分析）

目的探讨无张力疝修补术在肝硬化并腹股沟疝患者中的应用价值。方法回顾性分析42例肝硬化并腹股沟疝患者的临床资料,应用Lichtenstein修补术15侧,疝环充填式无张力疝修补术31侧。结果术后出现阴囊积液2例,腹股沟伤口渗腹水1例,切口疼痛和异物感3例,轻度肝性脑病1例,无切口血肿、感染发生,均经对症支持治疗治愈。随访6个月到3年患侧疝无复发,但有2例分别于术后11和23个月出现对侧疝,经再次手术治愈。结论无张力疝修补术是治疗肝硬化并腹股沟疝患者的理想手术方法,良好的围手术期处理是手术成功的关键。

Inguinal Hernia Tension-free Herniorrhaphy for Patients Combined with Liver Cirrhosis

Objective To explore the value of tension-free hernia repair in patients combined with liver cirrhosis. Methods The clinical data of 42 liver cirrhosis patients with inguinal hernia were analyzed retro- spectively. Lichtenstein＇s open tension-free herniorrhaphy was used in 15 laterals. Tension-free plug mesh hernior- rhaphy was used in 31 laterals. Results 2 cases suffered from scrotal hydrocele, 1 from ascites leakage from the groin wound, 3 from pain or foreign-body sensation , l from mild hepatic encephalopathy. There was no recurrenee in the 6 months to 3 years follow-up. However, two cases occurred contralateral hernia I l and 23 months later, and was cured by reoperation. Conclusions Tension-free herniorrhaphy is one of the ideal methods for the inguinal hernia patients combined with liver cirrhosis. Good preoperative management is the key to the success.