节点文献
个体化术式选择治疗腹股沟疝的疗效分析
Efficacy of individualized selection of surgical procedures of inguinal hernia
【摘要】 目的:探讨不同术式对各型腹股沟疝的治疗效果及术式的个体化选择。方法:回顾性分析桂林市中西医结合医院2007年6月至2010年6月进行腹股沟疝修补手术的427例患者的临床资料,均按Gilbert分型进行个体化术式选择并进行随访,记录患者的术后恢复活动时间、住院时间、手术并发症、术后慢性疼痛和异物感情况、复发情况等。结果:427例患者术后恢复活动时间(2.7±1.2)h,平均住院时间为(3.2±1.3)d,发生术后并发症25例(5.85%)。术后随访18~60个月,发现术后慢性疼痛2例(0.47%),异物感3例(0.70%),复发2例(0.47%)。结论:个体化术式选择进行腹股沟疝修补术临床疗效较好。
【Abstract】 Objective:To determine the efficacy and individualized selection of the surgical procedures of various types of inguinal hernia.Methods:We did a retrospective analysis on the clinical profiles of 427 patients with inguinal hernia who underwent surgical repair between June 2007 and June 2010 in Guilin Hospital of Combined Traditional Chinese Medicine and Western Medieine.The surgical procedures were selected based on the various types of(Gilbert typing) inguinal hernia surgery,which entailed the assessment of the time of activities postoperatively,length of hospital stay,surgical complications,postoperative chronic pain,the sense of foreign bodies and remission of hernia after the follow-up period.Results:Among the 427 patients who were treated with individualized inguinal hernia repair surgery,the time of activities was(2.7±1.2) h and the mean time of hospital stay was(3.2±1.3) d.25 cases(5.85%) developed complications postoperatively.After a followed up period of 18-60 months,2 cases developed chronic pain(0.47%),3 cases sensation of foreign body(0.70%) and 2 relapsed(0.47%).Conclusion;Individualized inguinal hernia repair technique is effective for clinical application.
【Key words】 inguinal hernia; surgical procedures,tension-free hernia repair surgery; selection of surgical procedure; individualize;
- 【文献出处】 广州医学院学报 ,Academic Journal of Guangzhou Medical College , 编辑部邮箱 ,2013年06期
- 【分类号】R656.21
- 【下载频次】1