【摘要】 目的探讨无张力疝修补术治疗腹股沟疝的个体化治疗方案.方法回顾性总结和分析2008年2月至2009年4月昆明延安医院普外科进行的338例无张力疝修补术的临床资料.结果患者腹股沟疝均得到治愈,效果满意,无1例复发.无伤口感染发生.患者平均年龄61岁,平均随访10个月95%可信区间为0.9794～1.0000.术后有5例(1.48%)出现局部血肿.31例(9.17%)有伤口局部感觉异常,3例(0.09%)出现阴囊积液.156例(46.15%)肌肉注射镇痛剂1次.术中、术后无严重并发症发生.结论针对不同的疝患者采用规范化个体化治疗方案是比较合理的,有利于患者的恢复,提高手术治疗效果.更多还原

【Abstract】 Objective To investigate individualized treatment of tension-free repair of inguinal heria.Methods Retrospective study was used to analyze the experience of tension-free repair in 368 patients in Kunming Yan’an Hospital from February 2008 to April 2009.Results The hernias were cured and the effects were satisfactory.No hernia recurrence and wound infection was occurred.The average age of patients was 61 years old.The average fol1ow-up was 10 months.The hematoma occurred in 5(1.48%)hernias,anaesthesia in 31(9.17%),and scrotal fluid accumulation in 3(0.09%).156(46.15%)patients were injected with analgesics.No serious peri-operative complications happened.Conclusion It is very reasonable to use standardized individual treatment program for different patients,and conducive to the restoration of patients and improving the effectiveness of surgical treatment.更多还原