临床普外科电子杂志 ›› 2019, Vol. 7 ›› Issue (4): 17-.

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杂交手术治疗腹股沟嵌顿疝的临床研究

  

  1. 梅州市中医医院 一外科,广东 梅州 514031
  • 出版日期:2019-10-01 发布日期:2020-01-15

Hybrid procedure in the treatment of incarcerated inguinal hernia

  1. Department of General Surgery, Traditional Chinese Medicine Hospital of Meizhou City, Meizhou
    Guangdong, 514031
  • Online:2019-10-01 Published:2020-01-15

摘要: 摘要:目的 评价杂交技术在腹股沟嵌顿疝手术治疗中的临床效果。方法 选取梅州市中医医
院2017 年2 月至2019 年2 月应用杂交技术治疗的21 例腹股沟嵌顿疝患者,需要杂交手术完成
的患者共21 例。年龄32~78 岁,平均年龄为(55±11.31)岁,均为一侧腹股沟疝嵌顿,嵌顿时
间为4~48h。其中有4 例合并有高血压、糖尿病,前列腺增生等基础疾病。分析手术时间、住院
时间、术后并发症等临床资料。结果 手术时间为60~140min,平均为(90±23.32)min。术后
腹股沟区肿胀3 例,阴囊水肿5 例,血清肿2 例。无切口感染病例。平均住院(6±3.4)d 左右,
随防 24 个月均未见复发。结论 杂交技术治疗腹股沟嵌顿疝具有安全、有效、康复快等优点,在
严格掌握适应证前提下可应用于临床。

关键词: 关键词: 腹股沟疝, 嵌顿, 疝修补术, 腹腔镜检查, 杂交技术

Abstract: Abstract: Objective To evaluate the effi cacy of hybrid procedure in incarcerated inguinal hernia.
Methods Twenty-one patients with incarcerated inguinal hernia treated by hybrid technique in Meizhou
Hospital of Traditional Chinese Medicine from February 2017 to February 2019 were selected. A total of 21
patients needed hybrid operation. The age ranged from 32 to 78 years, with an average age of (55± 11.31)
years. All patients had unilateral inguinal hernia incarceration. The incarceration time was from 4 hours to
48 hours. There were 4 cases with hypertension, cereal and urinary diseases, benign prostatic hyperplasia
and other basic diseases. The clinical data of operation time, hospitalization time and postoperative
complications were analyzed. Results Among the 17 patients, the operation time was 60-140 minutes,
with an average of (90±23.32) minutes. There were 3 cases of inguinal swelling, 5 cases of scrotal
edema and 2 cases of seroma after operation. No incision infection and intractable abdominal pain were
found. The symptoms of swelling and scrotal edema disappeared after symptomatic treatment or 4 weeks
after discharge, and no puncture and drainage was performed. The average hospitalization time was about
(6±3.4) days, and no recurrence occurred after 24 months of follow-up. Conclusions Hybrid procedure
is a safe and effective technique with fast recovery. and can be used in highly—selected patients who
sufered from incareerated inguinal hernia.

Key words: Key words: Inguinal hernia, Incarcerated, Herniorrhaphy, Laparoscopy, Hybrid procedure