中国实用外科杂志

中国实用外科杂志

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经正中线切口腹膜前3D-max补片修补腹股沟疝疗效研究（附115例报告）

王桐生，丁    磊，赵爱民，许开宇，张能维，高    宏   

  1. 首都医科大学附属北京世纪坛医院普外科，北京 100038
  • 出版日期:2015-11-01 发布日期:2015-10-29

  • Online:2015-11-01 Published:2015-10-29

摘要：

目的    探讨经正中线切口腹膜前3D-max补片腹股沟疝修补术的临床应用价值。方法    回顾性分析2012年1月至2014年12月首都医科大学附属北京世纪坛医院普外科收治的115例腹股沟疝病人的临床资料，采用3D-Max补片行经正中线切口腹膜前腹股沟疝修补术。单侧疝89例，双侧疝26例；斜疝73例，直疝22例，复合疝20例；复发疝11例。观察手术时间、住院时间、并发症和复发率等。术后随访4个月至2年。结果    单侧疝手术时间平均51.2 min，双侧疝手术时间平均76.6 min，住院时间平均6.1 d。血清肿5例，切口脂肪液化、裂开4例，分别经抽吸和换药治愈。随访3～24个月无复发。结论    经正中线切口腹膜前3D-max补片腹股沟疝修补术更适合复杂疝及复发疝，但操作有难度，对初发疝的治疗并无明显优势。

关键词: 疝修补术, 正中切口, 后入路, 双侧疝, 复发疝

Abstract:

Preperitoneal inguinal hernia repair via midline incision with 3D-max patch: A study of 115 cases        WANG Tong-sheng，DING Lei，ZHAO Ai-min，et al. Department of General Surgery，Beijing Shijitan Hospital Affiliated of Capital Medical University，Beijing 100038，China
Corresponding author：GAO Hong，E-mail: gaohongdoctor@sina.com
Abstract    Objective    To explore the value of preperitoneal inguinal hernia repair via midline incision with 3D-max patch. Methods    The clinical data of 115 cases of inguinal hernia underwent preperitoneal hernia repair via midline incision with 3D-Max patch from January 2012 to December 2014 in Department of General Surgery，Beijing Shijitan Hospital Affiliated of Capital Medical University were analyzed retrospectively. Among them，there were 89 cases of unilateral hernia，26 cases of bilateral hernia; 73 cases of indirect hernia，22 cases of direct hernia，20 cases of composite hernia；11 cases of recurrent hernia. Operative time，length of hospital stay，complications and recurrence rate were recorded. The postoperative follow-up ranged from 4 months to 2 years. Results    The mean operative time was 51.2 min in the cases of unilateral hernia and 76.6 min in the cases of both sides. The length of hospital stay were 6.1 days. Seroma occurred in 5 cases; fat liquefaction and incision split occurred in 4 cases; they were cured by drainage and dressing respectively. No recurrence occurred during follow-up for 3 to 24 months. Conclusion    Preperitoneal inguinal hernia repair via midline incision with 3D-max patch is suitable for complicated hernia and recurrent hernia，but difficult to use，has no obvious advantages for incipient inguinal hernia.

Key words: herniorrhaphy；midline incision；posterior approach；bilateral hernias, recurrent hernia