国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
2期
177-180
,共4页
疝%腹股沟%再手术
疝%腹股溝%再手術
산%복고구%재수술
Hernia,fold inguen%Reoperation
目的 探讨充填式无张力疝修补术在腹外疝修补术中的价值.方法 回顾性总结2000年9月至2008年8月用充填式无张力疝修补术治疗腹外疝250例患者.其中合并心肺功能不全、高血压、糖尿病、前列腺肥大、便秘者占36%(90/250).结果 本组无死亡,切口无感染,均为一期愈合.术后2～7d出院(93%患者于术后4 d出院).随访3个月～7年,平均随访3年4个月,随访率75.2%,无1例复发.结论 充填式无张力疝修补术具有手术创伤小,符合腹股沟管解剖生理,术后患者痛苦少,恢复快,复发率低等优点.
目的 探討充填式無張力疝脩補術在腹外疝脩補術中的價值.方法 迴顧性總結2000年9月至2008年8月用充填式無張力疝脩補術治療腹外疝250例患者.其中閤併心肺功能不全、高血壓、糖尿病、前列腺肥大、便祕者佔36%(90/250).結果 本組無死亡,切口無感染,均為一期愈閤.術後2～7d齣院(93%患者于術後4 d齣院).隨訪3箇月～7年,平均隨訪3年4箇月,隨訪率75.2%,無1例複髮.結論 充填式無張力疝脩補術具有手術創傷小,符閤腹股溝管解剖生理,術後患者痛苦少,恢複快,複髮率低等優點.
목적 탐토충전식무장력산수보술재복외산수보술중적개치.방법 회고성총결2000년9월지2008년8월용충전식무장력산수보술치료복외산250례환자.기중합병심폐공능불전、고혈압、당뇨병、전렬선비대、편비자점36%(90/250).결과 본조무사망,절구무감염,균위일기유합.술후2～7d출원(93%환자우술후4 d출원).수방3개월～7년,평균수방3년4개월,수방솔75.2%,무1례복발.결론 충전식무장력산수보술구유수술창상소,부합복고구관해부생리,술후환자통고소,회복쾌,복발솔저등우점.
Objective To assess the value of plug and mesh for tension free hernia in the treatment of abdominal external hernia.Methods 272 times of tension free repair of hernia for 250 patients performed in our hospital during the time from September 2000 to August 2008 were retrospectively reviewed 36%( 90/250 )of cases were complicated by diseases such as cardiopulmonary dysfunction, hypertension, diabetes mellitus, prostate hypertrophy, cirrhotic ascites and thrombocytopenia.Results All patients had the healing by first intention with no incisional infection or death, and they were discharged within 2 ～1 days after operation( 93% of patients were discharged 4 days after operation ).75.2% of patients were follower up for an average of 3 years and 4 months( 3 months ～ 7 years ).There was no recurrence during the follow-up.Conclusions Plug and mesh for the tension free repair has the advantages of less trauma, little postoperative discomfort,rapid recovery and low recurrent rate.
