【摘要】 目的探讨颈-肩技术在改良Kugel腹股沟疝修补中的解剖技巧及应用价值。方法回顾性分析2011年1月至2013年12月,新疆医科大学第一附属医院采用颈-肩技术行改良Kugel无张力修补成人腹股沟疝87例。结果手术时间34~92 min,平均(56±13)min。术后平均住院时间(4.2±1.4)d。术后1d即下床活动,术后出现皮下积液26例,经穿刺后消失;阴囊水肿14例,3~7 d后消退。术区疼痛2例,经局部封闭后缓解和消退。术后随访6~12个月,未见复发。结论颈-肩技术是寻找腹横筋膜薄弱区和游离腹膜前间隙的重要手段,作为一项重要的手术解剖技巧,颈-肩技术应为每一位疝外科医师掌握。更多还原

【Abstract】 Objective To investigate the anatomical skills and clinical value of ″neck-shoulder″technique on tension-free inguinal hernioplasty with the modified Kugel mesh. Methods A total of87 patients with inguinal hernia had undergone the tension-free inguinal hernioplasty with modified Kugel mesh from January 2011 to December 2013. Results All of the 87 cases were performed successfully. The average operating time was( 56 ± 13) minutes. The average duration of hospitalization was( 4. 2 ±1. 4) days. 26 cases of seroma,14 cases of scrotal edema,and 2 cases of chronic pain were observed. No recurrence were found at the follow-up period from 6 to 12 months. Conclusions As an important clinical anatomical skill,″ Neck-shoulder″ technique can help to find the weak area of transversalis fascia and to approach the real preperitoneal space,which should be mastered by every hernia surgeon.更多还原