成人腹股沟疝Lichtenstein无张力修补术130例分析

发表时间：2014-02-10 浏览次数：885次

引用：

朱征海，张正伟，顾盐炎.成人腹股沟疝Lichtenstein无张力修补术130例分析[J].吉林医学，2014,35(4):695-696.

关键词：

腹股沟疝;无张力疝修补术;李金斯坦修补术

作者：

朱征海，张正伟，顾盐炎

作者单位：

江苏省无锡市锡山人民医院普外科，江苏　无锡　214011

出版年份：

2014

期刊页数：

695-696.

收录者：

知网,万方

摘要：

目的：评价Lichtenstein平片无张力疝修补术疗效。方法：回顾分析2010年1月～2011年12月我院普外科130例单侧腹股沟疝Lichtenstein修补术。其中，右侧腹股沟疝79例(60.7%)，左侧腹股沟疝51例(39.3%)。腹股沟斜疝116例(89.3%)，腹股沟直疝13例(10.0%)，复合疝1例(0.7%)，复发疝5例(3.8%)，嵌顿性疝7例(5.3%)。手术均由同组医师完成，随访6～30个月。结果：所有130例患者手术均取得了成功。术后2例患者出现阴囊血肿，保守治疗吸收。12例患者术后出现术区疼痛，需要口服止痛药物，2～5d疼痛均明显缓解。无切口感染和补片置入区发生感染病例。2例患者术侧腹股沟区域有麻木感，6个月随访时1例已缓解，1例好转。1例患者发生慢性疼痛需要门诊止痛处理。结论：Lichtenstein平片无张力疝修补术是一种成熟、容易开展和掌握的手术。 Objective To evaluate effection of Lichtenstein tension - free hernioplasty. Method a retrospective analysis of 130 cases ofunilateral Lichtenstein inguinal hernia repair in Department of general surgery of our hospital between January 2010 and December 2011， Including the right inguinal hernia in 79 cases ( 60. 7% ) ， left inguinal hernia in 51 cases ( 39. 3% ) . There 116 cases of indirect inguinalhernia ( 89. 3% ) ， 13 cases of direct inguinal hernia( 10%) and 1 case of complex hernia ( 0. 7% ) ， including 5 cases of recurrent hernia( 3. 8% ) and 7 cases of strangulated hernia ( 5. 3% ) . All the operations were performed by the doctors of the same group， with the follow- up of 6 -30 months. Results All the 130 patients had successful operations. Postoperative hematoma of scrotum occurred in 2 patients，with successfully treatment conservatively. 12 patients felt pain after the operations. pain relieved in 2 - 5 days. Infection of incision andpatch placement area didn′t happened. 2 patients with inguinal region side felt numbly， with one patient feeling better and the other relievingin 6 months follow - up. One patient with chronic pain needed analgesic treatment. Conclusion Lichtenstein tension - free hernioplasty isan mature operation easy to develop and master.

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