腹股沟斜疝较大疝囊远端囊壁的处置探讨

目的探讨进入阴囊的较大腹股沟斜疝远端囊壁不同的处置方式在术后阴囊并发症上的差异。方法选取240例疝囊进入阴囊的斜疝患者,随机分为两组:旷置组远端疝囊实施旷置+开窗术,剥离组远端疝囊实施完全剥离术。两组患者均采用Lichtenstein手术。比较两组患者在术后阴囊肿胀并发症方面是否存在差异。结果旷置组125例患者术后阴囊肿胀11例(8.80%),其中阴囊水肿8例(6.40%),阴囊积液3例(2.40%),无阴囊血肿和睾丸肿胀。剥离组115例术后阴囊肿胀8例(6.96%),其中阴囊水肿5例(4.35%),阴囊血肿1例(0.87%),阴囊积液1例(0.87%),睾丸肿胀1例(0.87%)。比较两组术后阴囊肿胀发生情况,(P0.05),两组之间差异没有明显统计学意义。结论远端疝囊旷置+开窗手术,术后阴囊肿胀发生率与剥离组相近,手术创伤小,损伤精索机会低,是一种更为合适的远端疝囊处置方法。

Disposition of distal large sac in indirect inguinal hernia repair

Objective To explore a better operative management for distal large sac of inguinoscrotal hernia by comparing postoperative complications of the scrotum.Methods From January 2004 to June 2009,240 patients with inguinoscrotal hernia were randomly divided into two groups.All the patients were subjected to tension-free repair(Lichtenstein).Group A patients simultaneously received distal hernia sacs exclusion and fenestration,while group B patients received complete resection of distal hernia sacs.Postoperative...