临床研究(Clinical Research)

成人嵌顿性腹股沟疝的个体化治疗:附130例临床分析

Published at: 2016年第25卷第10期

卢业才 1 , 李启信 1 , 林珺珺 1 , 唐维平 1 , 汤朝 1
1 安徽医科大学附属巢湖医院 普通外科,安徽 巢湖 238000
通讯作者 业才 卢 Email: yecai-lu@163.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2016.10.018
基金:

摘要

目的:分析成人嵌顿性腹股沟疝的临床特点并总结个体化治疗经验。方法:回顾性分析2011年1月—2016年4月安徽医科大学附属巢湖医院普通外科收治的130例成人嵌顿性腹股沟疝患者的临床资料。结果:130例患者中,拒绝手术自动出院2例;手法复位成功18例,其中10例复位后行择期手术;110例行急诊手术,包括无张力疝修补术(Lichtenstein)47例,McVay手术35例,Bassini手术12例,单纯疝囊高位结扎术16例。110例急诊手术患者中,术中发现肠管坏死13例;术后15例出现并发症,包括阴囊血清肿6例,肺部感染5例,切口感染4例;疝复发4例。结论:在成人嵌顿性腹股沟疝的诊治过程中,须全面掌握患者病情资料加以综合分析,对于不同病例,需要个体化的治疗方案。


Individualized treatment of incarcerated inguinal hernia in adult patients: a clinical analysis of 130 cases

Abstract

Objective: To analyze the clinical characteristics of incarcerated inguinal hernia in adults and summarize the experience in individualized treatment. Methods: The clinical data of 130 adult patients with incarcerated inguinal hernia treated in Chaohu Hospital Affiliated to Anhui Medical University from January 2011 to April 2016 were retrospectively analyzed. Results: Among the 130 cases, 2 cases refused to undergo surgical treatment and were discharged on request; 18 cases had successful manual reduction, and 10 of them received elective operation after reduction; 110 cases underwent emergency surgery that included tension-free hernioplasty (Lichtenstein) in 47 cases, McVay’s repair in 35 cases, Bassini’s repair in 12 cases and high ligation of hernia sac in 16 cases. Of the 110 patients who underwent emergency surgery, bowel necrosis was found in 13 cases. Postoperative complications occurred in 15 cases, including scrotal swelling in 6 cases, pulmonary infection in 5 cases and incision wound infection in 4 cases, and hernia recurrence occurred in 4 cases. Conclusion: During the diagnosis and management of incarcerated inguinal hernia in adults, the patients’ condition should be fully observed and comprehensively analyzed, and personalized treatment plan should be tailored to individual patient.


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引用

引用本文: 业才 卢, 启信 李, 珺珺 林, 维平 唐, 朝 汤. 成人嵌顿性腹股沟疝的个体化治疗:附130例临床分析 [J]. 中国普通外科杂志, 2016, 25(10): 1475-1479.
Cite this article as: LU Yecai, LI Qixin, LIN Junjun, TANG Weiping, TANG Chao . Individualized treatment of incarcerated inguinal hernia in adult patients: a clinical analysis of 130 cases[J]. Chin J Gen Surg, 2016, 25(10): 1475-1479.