| 疝环充填式无张力疝修补术262例体会 |
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| 引用本文： | 梁振家,李世拥,苑树俊,于波,陈纲,陈光,白雪,左富义. 疝环充填式无张力疝修补术262例体会[J]. 中华普外科手术学杂志(电子版), 2007, 1(2) |
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| 作者姓名： | 梁振家 李世拥 苑树俊 于波 陈纲 陈光 白雪 左富义 |
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| 作者单位： | 北京军区总医院全军普通外科中心,100700 |
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| 摘 要： | 目的 探讨疝环充填式无张力修补术治疗腹股沟疝的经验并评价其临床价值.方法 回顾总结2000年1月至2007年6月疝环充填式无张力修补术治疗腹股沟疝262例临床资料,其中伴随高血压、冠心病、糖尿病、慢性呼吸系统疾病、便秘、前列腺肥大等238例,占90.8%.结果 全组均治愈,手术时间平均41分钟,无切口感染,术后4～7天出院,平均住院5天,随访3～64个月,疝复发1例,为0.4%.结论 该方法操作简便,符合腹股沟区生理解剖特点,强调对高龄患者的术前准备,强调严格的无菌操作,强调充填物放置到位和充填后修补到位是避免术后复发的关键.
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| 关 键 词： | 疝,腹股沟 再手术 |
Hernia repair with plug mesh: report of 262 cases |
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| LIANG Zhen-jia,LI Shi-yong,YUAN Shu-jun,YU Bo,CHEN Gang,CHEN Guang,BAI Xue,ZUO Fu-yi. Hernia repair with plug mesh: report of 262 cases[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Version, 2007, 1(2) |
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| Authors: | LIANG Zhen-jia LI Shi-yong YUAN Shu-jun YU Bo CHEN Gang CHEN Guang BAI Xue ZUO Fu-yi |
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| Abstract: | Objective To assess the value of plug mesh in treating inguinal hernia. Methods 262 cases of inguinal hernia were treated with plug mesh from january 2000 to august 2007. Among them, 238 cases (90.8%) were associated with hypertension, coronary heart disease, diabetes, chronic respiratory disease. Results All cases were cured after the treatment . The time for the operation averaged 41 minutes. No wound infection induced by incision was noted. Four to 7days after operation the patients were discharged from the hospital. Average hospital stay was 5 days and follow-up lasted for 3～64 months. Recurrence of hernia happened in one case(0.4%). Conclusion Plug mesh is convenient for hernia repair. Adequate preoperative preparation and strict sterilization are emphasized to avoid postoperative recurrence of hernia. |
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| Keywords: | Hernia,inguinal Reoperation |
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