局麻下腹膜前间隙与疝环填充修补腹股沟疝的临床疗效对比分析

发布时间：2018-06-22 21:26

本文选题：局部麻醉 + 腹股沟疝　；参考：《新疆医科大学》2014年硕士论文

【摘要】：目的：回顾性分析2011年01月-2013年05月在我院行局麻下腹膜前间隙式腹股沟疝修补术与疝环填充式腹股沟疝修补术患者的临床资料,探讨两种术式在腹股沟疝治疗中的临床疗效。方法：回顾性研究2011年01月-2013年05月我院局部麻醉下应用巴德疝修补补片Modified Kugel和美夕卜REF TECRT8伞形补片作为疝修补材料行腹股沟疝修补术99例患者,由手术方式分为腹膜前间隙式组与疝环填充式组。分析两组患者平均手术时间、术后平均住院日、术后并发症情况、术后复发率临床资料。结果：腹膜前间隙组与疝环填充组,手术时间分别为41.4±5.48min和39.6±3.56min;术后平均住院时间分别为46.2±L6.66h和48.1±4.14h；两组术后疼痛较轻,均未用止痛药；两组均于术后6-12h内下床活动；其中腹膜前间隙组阴囊积液为1例,术后随访5--24个月无术后复发,术后慢性疼痛1例,术后异物感2例；疝环填充组阴囊积液1例,术后随访5--24个月术后复发1例,无术后慢性疼痛患者,术后异物感8例。结论：局部麻醉下行腹膜前间隙修补术就术后异物感而言优于疝环填充式修补术,较疝环填充具有更广的适应症,但是游离腹膜前间隙时有损伤腹壁下血管、股血管、死亡冠的风险,故临床操作中应根据术者手术能力,患者个体情况进行合理化的选择。
[Abstract]:Objective: to retrospectively analyze the clinical data of patients with inguinal herniorrhaphy in our hospital from January 2011 to May 2013 under local anesthesia and hernia ring filled inguinal herniorrhaphy, and to explore the clinical effect of the two methods in the treatment of inguinal hernia. Methods: from January 2011 to May 2013, 99 cases of inguinal hernia repair were performed with modified Kugel and Messibirf TECRT8 Umbrella patch under local anesthesia in our hospital. The operation was divided into anterior peritoneal space group and hernia ring filling group. The average operation time, average hospital stay, postoperative complications and clinical data of the two groups were analyzed. Results: the operative time was 41.4 卤5.48min and 39.6 卤3.56 minutes in the anterior peritoneal space group and hernia ring filling group, respectively, and the average postoperative hospitalization time was 46.2 卤L 6.66 h and 48.1 卤4.14 h, respectively. There were 1 case of scrotal effusion in the preperitoneal space group, 1 case of chronic pain, 2 cases of postoperative foreign body sensation, 1 case of chronic pain, 1 case of scrotal effusion in hernia ring filling group, and 1 case of postoperative recurrence after 5 to 24 months follow-up. No postoperative chronic pain, postoperative foreign body sensation in 8 cases. Conclusion: the preperitoneal space repair under local anesthesia is superior to the hernia ring filling repair in terms of foreign body sensation, and has a wider indication than the hernia ring filling. However, there is damage to the inferior abdominal wall and femoral vessels in the free anterior peritoneal space. The risk of death crown should be selected according to the operative ability and individual condition.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R656.2

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