疝环充填式无张力疝修补术治疗腹股沟疝122例临床体会

目的：总结疝环充填式无张力疝修补术的临床疗效和近期并发症。方法：应用美国巴德公司的疝环充填物及网状补片对122例各类腹股沟疝患者进行无张力疝修补治疗;对手术方法、手术时间、切口疼痛、术后自主能力的恢复、并发症、复发率及术中注意事项进行回顾性分析。结果：平均手术时间为46 m in;术后疼痛轻,15例口服止痛剂;术后平均8 h后下床活动;并发症6例,其中尿潴留4例,阴囊血肿2例,无切口感染。术后随访1~24个月,5个月后复发1例。结论：疝环充填式无张力疝修补术具有符合解剖生理、方法简单、创伤小、恢复快、术后并发症少、复发率低等特点。

The clinical experience of hernia ring filling tension-free hernia repair in the treatment of 122 patients with inguinal hernia

Objective：To summarize the clinical efficacy and early complications of the hernia ring filling tension-free hernia repair.Methods：Central american bard′s hernia mesh patch filling and 122 cases of patients with various types of inguinal hernia with tension-free hernia repair.The surgical methods,time,incision pain,and postoperative recovery of autonomy,complications,the recurrence rate and intraoperative precautions were reviewed.Results：The mean operative time was 46 min;15 cases has postoperative pain,cured by oral analgesics;the time of postoperative ambulation was 8 h averagely;complications in 6 cases,including 4 cases of urinary retention,scrotal hematoma in 2 cases,no wound infection.Patients were followed up 1 to 24 months,the recurrence in 1 case after 5 months.Conclusion：Hernia ring filling tension-free hernia repair accord with anatomic physiology,simple,less invasive,faster reco-very,fewer complications,lower recurrence rate.