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疝环充填式无张力疝修补术在腹股沟疝中的应用

　　作者：王荣华 李希路 孙福群 和西涛

　　【摘要】 目的 探讨充填式无张力疝修补术在腹股沟疝修补术中的价值。方法 采用美国巴德公司的疝环充填物及成型补片，对58例腹股沟疝病人施行疝环充填式无张力疝修补术。观察手术方法、手术指征、术后病人伤口疼痛、自主能力的恢复、并发症及复发率等。结果 手术时间平均32 min;术后3～14 h病人能下床活动;伤口疼痛时间2～3 d;术后排尿困难5例，腹股沟部异物感3例。随访6个月～6年，未见复发病例。结论 疝环充填式无张力疝修补术具有手术操作简单、损伤轻、恢复快、术后复发率低等优点。可放宽手术指征，是一种先进的疝修补方法。

　　【关键词】 腹股沟疝;无张力疝修补术

　　Application of meshplug tensionfree hernia repair to groin hernia

　　WANG Ronghua LI Xilu SUN Fuqun et al

　　Department of General Surgery,Affilitated Hospital of Binzhou Medical College,Binzhou 256603

　　【Abstract】 Objective To discuss the value of meshplug tensionfree hernia repair in groin hernia.Methods The mesh & plug tenslonfree hernia repair was administered in 58 patients of groin hernia with the Bard Mesh & Perfix plug offered by Bard Company in U.S.A.The operative procedure,surgical indication,postoperative pain,abliligy recovery,complications and recurrence rate were studied.Results The average operation time was 32 minutes.The patients could move 3～14 hours after operation.Postoperation pain lasted about 2～3 days.Five had retention of urine.Three had feeling of foreign matter in the groin region.The followup period ranged from 6 months to 6 years and no recurrence was observed.Conclusion The mesh & plug tensionfree hernia repair is easy to be daministered,with minor lesion,quicker recovery and lower recurrence.And the operation indication can be widened.It is a most advanced method in treating groin hernia.

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