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华西医学  2015 

无张力疝修补术治疗复发疝的经验和体会

DOI: 10.7507/1002-0179.20150579, PP. 2031-2034

Keywords: 腹股沟复发疝,无张力,疝修补术

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Abstract:

目的?评价个体化无张力疝修补手术治疗腹股沟复发疝的疗效。方法?回顾性分析2008年8月-2013年8月应用无张力疝修补术治疗复发疝的31例患者的手术临床资料。其中4例行疝环单纯网塞充填式无张力疝修补术,19例行“改良Lichtenstein”手术,8例行腹膜前间隙无张力修补术。结果?术后并发症包括切口感染1例,切口血清肿3例,阴囊血肿2例,尿潴留1例。其余患者术后恢复良好,住院时间5~7d。25例患者术后获随访结果,术后随访时间4~38个月,平均(10±13)个月,无慢性疼痛患者和再次复发患者。结论?根据患者情况在手术时机和手术方式上作出个体化的最优治疗选择,尽量选择简单有效的手术方式,精准操作才能摆脱复发-复发后手术-再复发的困局。

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