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疝环充填式无张力疝修补术治疗腹股沟疝38例临床分析
http://www.100md.com 《中华现代外科学杂志》 2005年第12期
腹股沟疝,,腹股沟疝;无张力修补术,1资料与方法,2结果,3讨论
     【摘要】 目的 总结疝环充填式无张力疝修补术的手术经验及临床效果。方法 采用美国巴德公司的疝环充填物及网状补片行手术38例,观察手术时间,术后患者自主能力的恢复、并发症、复发率及术后住院时间。结果 平均手术时间30min,切口疼痛轻,术后4~9h就能下床活动,并发尿潴留3例,切口肿胀1例,术后平均住院时间4天,随访3~16个月无一例复发。结论 疝环充填式无张力疝修补术具有操作方便、术后恢复快、并发症少、复发率低的优点,是较理想的手术方式。

    【关键词】 腹股沟疝;无张力修补术

    【Abstract】 Objective To summary the operation experience and the clinical effect of tension-free mesh-plug repair on groin hernia.Methods 38 patients were treated by tension-free mesh-plug repair with Bard mesh 8L prefix plug offer by Bard Company in U.S.A.The operation time,postoperative pain,recovery time,complication,recurrence rate and hospitalized time were studied.Results The average time of operation was 30 minutes and the postoperative pain was soft.The patients could step in 4-9 hours after operations.The post operative complications were shown as following:3 cases of urinary retention,1 case of scrotal hydrocele,1 case of wound hydrocele.The average hospitalized period was 4 days,3-16 months of follow-up were taken and no recurrence was reported.Conclusion Tension-free mesh-plug repair if easy to be administered with minor lesion,quick recovery and low rate of recurrence.It is an ideal method in treating groin hernia. ......

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