腹腔镜腹股沟疝修补术并发症的防治(附124例) |
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引用本文: | 邰沁文,张金辉,温浩,帕尔哈提,张军,丁海涛.腹腔镜腹股沟疝修补术并发症的防治(附124例)[J].中华疝和腹壁外科杂志(电子版),2011,5(3):337-342. |
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作者姓名: | 邰沁文 张金辉 温浩 帕尔哈提 张军 丁海涛 |
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作者单位: | 1. 新疆医科大学第一附属医院肝(移植)腔镜外科,乌鲁木齐,830054 2. 新疆医科大学第六附属医院普外科 |
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摘 要: | 目的探讨腹腔镜下腹股沟疝修补术手术效果与并发症防治。方法回顾性分析我院2007年10月至2010年12月接受经腹腔腹膜前疝修补术(TAPP)和完全腹膜外腹腔镜疝修补术(TEP)患者的临床资料,治疗效果和并发症发生率。结果本组腹腔镜下腹股沟疝修补术124例全部治愈。术式TAPP81例,TEP43例。单侧腹股沟斜疝38例,直疝21例;双侧腹股沟斜疝44例,直疝14例;一侧斜疝一侧直疝5例,双侧腹股沟斜疝并右直疝2例。手术时间40~187min,平均104min。住院时间5~13d,平均7d。随访1个月至33个月,平均随访15个月。手术并发症7例,占5.6%;4例为腹股沟区血肿,其中1例经手术清除后治愈;2例为阴囊气肿,术后第二天自愈;1例直疝术后2个月复发。结论TAPP/TEP治疗腹股沟疝是安全有效的,并发症及复发率可以接受,规范操作并正确把握手术指征对顺利开展腹腔镜下腹股沟疝修补术具有重要意义。
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关 键 词: | 疝 腹股沟 腹腔镜 疝修补术 手术后并发症 |
Prevention and treatment of complieations for laparoscopic inguinal hernia repair.(with 124 cases) |
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Authors: | TAI Qin-wen ZHANG Jin-hui WEN Hao PA Erhati ZHANG Jun DING Hai-tao |
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Institution: | TAI Qin-wen,*ZHANG Jin-hui,WEN Hao,PA Erhati,ZHANG Jun,DING Hai-tao.*First Affiliated Hospital of Xinjiang Medical University,liver(transplant) laparoscopic surgery,Urumqi 830054,China |
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Abstract: | Objective To explore the clinical effects and complications of laparoscopic inguinal hernia repair.Methods The clinical data,effective rate and complication rate of 124 cases who admitted to our hospital from October 2007 to December 2010 were repectively analyzed.Results All 124 cases were operated trossuccessful ly,81 patients underwent transabdominal preperitoneal hernia repair(TAPP) and 43 patients were subjected total extraperitoneal hernia repair(TEP).38 patients with unilateral indirect inguinal hern... |
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Keywords: | Hernia inguinal Herniorrhaphes Laparoscopy Postoperative Complications |
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