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疝环充填式无张力疝修补术296例报告
引用本文:王厚清,王少强,胡寒平,周颜才,阮庆兰.疝环充填式无张力疝修补术296例报告[J].临床急诊杂志,2009,10(4):207-208.
作者姓名:王厚清  王少强  胡寒平  周颜才  阮庆兰
作者单位:1. 湖北省监利县第二人民医院普外科,湖北监利,433325
2. 华中科技大学同济医学院附属协和医院普外科
摘    要:目的:总结应用疝环充填式无张力疝修补术296例的临床经验。方法:用美国强生公司生产的聚丙烯单丝编织补片对296例不同类型腹股沟疝行疝环充填式无张力疝修补术。对手术时间、术后并发症、复发率进行观察。结果:平均时间60min,术后1例复发,2例皮下气肿,1例切口溢液,8例阴囊积液,无一例发生补片排斥反应,住院时间5~8d。随访7个月,除上述1例复发外,再无切口并发症及复发病例。结论:疝环充填式无张力疝修补术符合生理解剖,手术时间短、术后并发症少、操作简便、损伤轻、恢复快、复发率低,可适当放宽手术指征。

关 键 词:无张力  腹股沟  疝修补术

A clinical report of treating inguinal hernia with the mesh and plug tension-free hernioplasty(analysis of 296 cases)
WANG Houqing,WANG Shaoqiang,HU Hanping,ZHOU Yancai,YUAN Qinglan.A clinical report of treating inguinal hernia with the mesh and plug tension-free hernioplasty(analysis of 296 cases)[J].Journal of Clinical Emergency Call,2009,10(4):207-208.
Authors:WANG Houqing  WANG Shaoqiang  HU Hanping  ZHOU Yancai  YUAN Qinglan
Institution:WANG Houqing WANG Shaoqiang HU Hanping ZHOU Yancai YUAN Qinglan (1Department of Surgery, the 2nd Renmin Hospitol,Jianli,433325,China;ZDepartment of Surgery, Wuhan Union Hospitol, Tongji Medical College, Huazhong University of Science and Technology)
Abstract:Objective:To evaluate the clinical effect of tension-free mesh-plug repair in inguinal henia. Method: Using the mesh plug material to treat 296 patients. The average operation time, complication and recurrence rate were studied. Result: The average operation time was 60 minutes, only one case had recurrence,and one had subcutaneous hydrops in incision. 8 cases bad serotal hydrops. 2 cases had pneumodermas. No reject reaction was found. Conclusion: Mesh--plug tension free herinoplasty is a perfect surgicaltechnique, Its is tensionfree, time--savingand fewer recurrence. Meanwhile, the method could be applied to those with intestinal necrosis.
Keywords:tension free  inguinal hernia  hernioplast
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