前入路腹膜前间隙无张力疝修补术的临床应用体会 |
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引用本文: | 邓晓军,马晓强,陈红,郑波.前入路腹膜前间隙无张力疝修补术的临床应用体会[J].内蒙古中医药,2012,31(11):17-18. |
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作者姓名: | 邓晓军 马晓强 陈红 郑波 |
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作者单位: | 1. 新津县武阳社区卫生服务中心 四川成都611430 2. 四川省人民医院普外科 |
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摘 要: | 目的:探讨应用前入路腹膜前间隙无张力疝修补术治疗腹股沟疝的方法。方法:回顾性分析134例腹股沟疝的临床资料,所有病例均采用局麻或硬膜外麻醉下的前入路腹膜前间隙修补术。结果:本组患者术后均痊愈,手术时间平均45min,术后6h~24h下床活动。术后无尿潴留、切口感染及局部异物感等并发症,随访6~24个月无复发。结论:腹膜前间隙修补术符合腹股沟解剖学特点,缩短了手术及住院时间。该技术术后疼痛轻、恢复快、并发症少、复发率低,是一种合理、可靠的无张力疝修补方式。
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关 键 词: | 疝 腹股沟 无张力 腹膜前间隙 疝修补术 |
The clinical experience of preperitioneal tension-free inguinal hern ia repair |
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Institution: | DENG Xiao-jun,MA Xiao-qiang,CHEN Hong |
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Abstract: | Objective:To discuss the application of preperitioneal tension-free inguinal hernia repair in order to improve the opera- tive efficacy of inguinal hernia. Methods:A retrospective study was made to analyze the clinical data of 89 cases of inguinal hernia treated by preperitioneal repair under local anesthesia or epidural block. Results:All cases were well recovered, the average opera- tion time was 45 minutes. The patients could get out of bed 6 hours after surgery, the average postoperative hospital stay was 4.5 days. No complication of urine retention, wound infection, local foreign body sensation, and so on. No recurrence was found in 6 to 24 months of follow-up after operation. Conclusions:Preperitioneal tensiowfree inguinal hernia repair fit in with the inguinal anatomy, shortening the operation and hospital stay time. It was a reasonable and reliable tension-free herniorrhaphy method of less pain, recovery quickly, less complications, low recurrence rate. |
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Keywords: | Hernia inguinal Tension-free Preperitioneal space Herniorrhaphy |
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