中国实用外科杂志

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腹股沟疝合并其他须手术治疗疾病对策

李航宇,魏士博,李    宪   

  1. 中国医科大学附属第四医院普通外科,辽宁沈阳 110032
  • 出版日期:2023-06-01

  • Online:2023-06-01

摘要: 近年来,腹股沟疝合并须手术治疗的其他疾病病人逐渐增加,然而如何制定此类病人的治疗方案尚无统一意见。对于合并肿瘤性疾病的腹股沟疝病人,应遵循“肿瘤优先原则”,优先完成肿瘤的手术治疗,在适当时机再行腹股沟疝修补手术,并且谨慎使用补片,以防出现肿瘤转移定植的情况。对于合并高感染风险疾病的腹股沟疝病人,建议采取分期手术治疗方案。且在二期手术时应慎用补片,避免发生细菌定植等并发症。对于合并低感染风险疾病的腹股沟疝病人,可行一期手术治疗。

关键词: 腹股沟疝, 疝修补术, 合并疾病, 治疗方案

Abstract: Strategies for inguinal hernia combined with other surgical diseases        LI Hang-yu, WEI Shi-bo, LI Xian. Department of General Surgery, the Fourth Affilianted Hospital of China Medical University, Shenyang 110032, China
Corresponding author: LI Hang-yu,E-mail:li_hangyu@126.com
Abstract    In recent years, the number of patients with inguinal hernia and other diseases requiring surgical treatment has increased gradually, but there is no consensus on how to formulate a treatment plan for such patients. For patients with inguinal hernia combined with neoplastic disease, the "tumor first principle" should be followed, and surgical treatment of the tumor should be completed first, followed by inguinal hernia repair surgery at an appropriate time. The mesh should be used with caution to prevent tumor metastasis and colonization. For patients with inguinal hernia who have a high risk of infection, a staged surgical treatment plan is recommended. The mesh should be used with caution during second-stage surgery to avoid complications such as bacterial colonization. For inguinal hernia patients with a low risk of infectious disease, a staged surgical treatment is feasible

Key words: inguinal hernia, hernia repair, comorbidities, treatment plan