疝环充填式无张力疝修补术1826例治疗经验 |
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引用本文: | 景圆圆,杨志,姚胜,刘飞德,费阳,李基业.疝环充填式无张力疝修补术1826例治疗经验[J].临床外科杂志,2011,19(6):377-378. |
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作者姓名: | 景圆圆 杨志 姚胜 刘飞德 费阳 李基业 |
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作者单位: | 1. 解放军总医院第一附属医院普外科,北京,100048 2. 解放军总后勤部司令部管理局郑常庄干休所门诊部 |
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摘 要: | 目的总结疝环充填式无张力腹股沟疝修补术的临床疗效。方法回顾性分析2000年5月至2010年12月采用聚丙烯疝环充填物及补片修补的1826例腹股沟疝的临床资料。结果平均手术时间45min(34~84min);术后平均住院时间6.4d(4~16d);阴囊血肿发生率0.7%(13/1826);伤口感染率0.2%(5/1826);腹股沟区慢性疼痛发生率0.8%(15/1826);获得随访1628例,随访率89.2%,随访时间平均78个月(3~127个月),复发率为0.5%(8/1628);无手术死亡。结论疝环充填式无张力腹股沟疝修补术是一种操作简单,效果确切,术后复发率低的理想术式。
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关 键 词: | 腹股沟疝 网塞 无张力修补术 |
Mesh-plug inguinal hernioplasty: clinical experience with 1826 cases |
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Institution: | JING Yuan-yuan, YANG Zhi, YAO Shen,et al. (Department of General Surgery,the First Hospital Affiliated to the General Hospital of PLA ,Beijing 100048, China) |
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Abstract: | Objective To investigate the curative effectiveness of tension - free inguinal hernoiplasty with mesh - plug. Methods The clinical data of 1826 cases of inguinal hernia repaired by plug - mesh from May 2000 to December 2010 were reviewed. Results The mean operative time was 45 rain ( range 34 - 84 min) ; The mean hospital stay was 6.4 days( ranging 4 - 16 days) ; The incidence of scro- tum hematomas was O. 7% (13/1826) ; The rate of the wound infection was O. 2% (5/1826) ; The rate of chronic pain in the inguinal area was 0.8% (15/1826). 1628(89.2% ) cases were followed up for mean 78 months (ranging 3 -127 months). Recurrent hernias were observed in 8 patients. There were no deaths in this series of the patients. Conclusion Mesh - plug inguinal hernioplasty is an ideal procedure with simple technique, definite efficacy and low incidence of hernia recurrence. |
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Keywords: | iguinal hernia Mesh - plug tension - free repair |
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