腹膜前间隙修补术治疗成人腹股沟疝503例的临床分析

目的探讨腹膜前间隙修补术修补成人腹股沟疝的治疗效果,总结治疗经验。方法回顾性分析我科自2007年8月至2008年12月期间收治的503例腹股沟疝患者的临床资料,所有病例均采用硬膜外麻醉或全麻下的腹膜前间隙修补术。结果本组患者中,男性417例,女性86例;年龄21～83岁,平均年龄(62±12)岁。手术时间平均30±12 min(20～90 min)。患者平均术后6 h下床活动。平均住院时间(5±2)d(2～12 d)。随访9～24个月,术后复发3例,术后1例发生手术区域慢性疼痛,经局部封闭注射后治愈;术后5例发生局部浆液肿,经穿刺治愈。结论腹膜前间隙修补术创伤小,手术时间短,符合腹股沟解剖生理,无缝线张力,术后疼痛轻、恢复快,并发症少和复发率低,是一种更为安全、合理、可靠的无张力修补方式。

Open preperitoneal groin hernioplasty in adult inguinal hernias (a report of 503 cases)

Objective To evaluate the effect of the open preperitoneal groin hernioplasty in the inguinal hernia. Methods The study include 503 patients with inguinal hernias in our department from Aug. 2007 to Dec. 2009. All the patients were treated with the open preperitoneal groin hernioplasty under either general or epidural anesthesia. Results The average age of these patients was 62 ± 12 years. The average operation time was 30 ± 12 min, and all operations were successful without serious complications. The average length of stay in hospital was 5 ± 2 days. There were three recurrence cases in the follow - up time from 9 to 24 months. Conclusions The preperitoneal tension - free hernioplasty has lower tension, shorter operation time, fewer postoperative pain, faster recovery, fewer complications, and it is more consistent with the inguinal anatomy and physiology. It is a safe and effective method.