中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2015年
4期
312-314
,共3页
疝,腹股沟%麻醉,局部%聚丙烯类%疝修补术
疝,腹股溝%痳醉,跼部%聚丙烯類%疝脩補術
산,복고구%마취,국부%취병희류%산수보술
Hernia,inguinal%Anesthesia,local%Polypropylenes%Herniorrhaphy
目的：探讨非编织聚丙烯补片在局部麻醉下腹膜前间隙腹股沟疝无张力修补术中的应用。方法回顾性分析2014年1～7月，赤峰市宁城县蒙医中医院采用非编织聚丙烯补片，在局部麻醉下腹膜前间隙腹股沟疝无张力修补术治疗腹股沟疝患者32例的临床资料。观察其手术时间、住院时间、住院费用，术后随访其并发症、慢性疼痛、局部异物感及复发情况。结果本组患者均顺利完成手术。单侧疝手术时间为（49±10）min，住院时间为（3．5±1．0）d，住院费用（5250±200）元。术后1例患者出现伤口局部感染，2例患者出现阴囊积液，2例患者出现腹股沟区血清肿，其余患者均未出现并发症、慢性疼痛、异物感及复发。结论非编织聚丙烯补片应用于局部麻醉腹膜前间隙腹股沟疝无张力修补术，手术操作简单，术后并发症发生率及复发率低，患者无明显慢性疼痛及异物感，临床上值得推广。
目的：探討非編織聚丙烯補片在跼部痳醉下腹膜前間隙腹股溝疝無張力脩補術中的應用。方法迴顧性分析2014年1～7月，赤峰市寧城縣矇醫中醫院採用非編織聚丙烯補片，在跼部痳醉下腹膜前間隙腹股溝疝無張力脩補術治療腹股溝疝患者32例的臨床資料。觀察其手術時間、住院時間、住院費用，術後隨訪其併髮癥、慢性疼痛、跼部異物感及複髮情況。結果本組患者均順利完成手術。單側疝手術時間為（49±10）min，住院時間為（3．5±1．0）d，住院費用（5250±200）元。術後1例患者齣現傷口跼部感染，2例患者齣現陰囊積液，2例患者齣現腹股溝區血清腫，其餘患者均未齣現併髮癥、慢性疼痛、異物感及複髮。結論非編織聚丙烯補片應用于跼部痳醉腹膜前間隙腹股溝疝無張力脩補術，手術操作簡單，術後併髮癥髮生率及複髮率低，患者無明顯慢性疼痛及異物感，臨床上值得推廣。
목적：탐토비편직취병희보편재국부마취하복막전간극복고구산무장력수보술중적응용。방법회고성분석2014년1～7월，적봉시저성현몽의중의원채용비편직취병희보편，재국부마취하복막전간극복고구산무장력수보술치료복고구산환자32례적림상자료。관찰기수술시간、주원시간、주원비용，술후수방기병발증、만성동통、국부이물감급복발정황。결과본조환자균순리완성수술。단측산수술시간위（49±10）min，주원시간위（3．5±1．0）d，주원비용（5250±200）원。술후1례환자출현상구국부감염，2례환자출현음낭적액，2례환자출현복고구구혈청종，기여환자균미출현병발증、만성동통、이물감급복발。결론비편직취병희보편응용우국부마취복막전간극복고구산무장력수보술，수술조작간단，술후병발증발생솔급복발솔저，환자무명현만성동통급이물감，림상상치득추엄。
Objective To explore the non-woven polypropylene mesh in preperitoneal tension-free inguinal hernia repair under local anesthesia .Methods A total of 32 cases with inguinal hernia were enrolled and underwent preperitoneal tension-free hernia repair with non-woven polypropylene mesh under local anesthesia in the Ningcheng County Chinese & Mongolian Medicine Hospital of Chifeng from January 2014 to July 2014.The operation time, length of stay, costs, complications, chronic pain, foreign body sensation and recurrence were observed .Results All the patients were operated successfully .The unilateral operation time was (49 ±10) minutes, the length of hospitalization stay was (3.5 ±1.0) days and costs was (5 250 ±200 ) yuan.There were 1 case of wound infection , 2 cases of scrotal hydroceles and 2 cases of seroma in the inguinal region .The rest had no complications , chronic pain , foreign body sensation and recurrence .Conclusion Preperitoneal tension-free hernia repair using non-woven polypropylene mesh under local anesthesia is simple to perform and it has few complications and low recurrence .Patients have no chronic pain and foreign body sensation .It is worthy of clinical promotion .
