疝环充填式无张力疝修补术后并发症的临床分析

目的探讨疝环充填式无张力疝修补术后并发症发生的原因及其预防与治疗措施。方法对我院2006年至2008年间疝环充填式无张力疝修补术421例临床资料作回顾性分析。结果421例中发生各种并发症有23例，发生率5．46％；其中术后局部疼痛6例，阴囊积液4例，伤口（皮下脂肪）液化2例，伤口感染2例，睾丸血肿2例，局部硬块异物感6例，复发1例；均治愈出院。结论疝环充填式无张力疝修补术是安全有效的术式，降低术后并发症的关键在于熟悉腹股沟的解剖，提高手术操作技巧，加强无菌原则及围手术期的治疗。

Clinical analysis of complications after the meshplug tension-free inguinal hernioplasty

Objective To investigate the cause of complications occurred after the Mesh Plug tension-free inguinal herniaplasty and the measures of prevention and treatment of these complications.Methods Aretrospective analysiswas made in 421patients receiving Mesh Plug tension-free hernioplasty from 2006 to 2008 in our hospital.Results 23 (5.46%)cases occurred various complications. Of them, postoperative chronic pain happened in 6 cases, hydrocele of scrotum in 4 cases, liquefaction of subcutaneous tissue in 2 cases, infection in 2 cases,haematoma of testis in 2 cases, foreign body sensation in 6 cases, recurrence in 1case. All the cases were cured to leave hospital. Conclusions The Mesh Plug tension-free inguinal hernioplasty is safe and efficient, the key to reduce the operation complications lies on the familiarity of the groin's anatomy, skilled surgical technique, stricted asepsis principles and careful perioperative management.