无张力疝修补术治疗老年人腹股沟嵌顿疝临床研究

摘要

Objective To evaluate the clinical efficacy of mesh-plug tension-free hernioplasty in the treatment of inguinal incarcerated hernia. Methods 112 patients with inguinal incarcerated indirect hernia were treated with mesh plugs designed by Hermiamesh,an Italian company,and 86 of them were complicated with various kinds of other diseases relating to important organs.The time from incarceration to surgery was 2.0-48hours. Results No death was detected,and no relapses were detected after follow-ups of 3-24 months. Conclusion Tension-free hernioplasty has advantages of being safe,effective and fast recovery,which can be applied under the prerequisite of strictly following the indications.%目的：评价疝环充填式无张力疝修补术在治疗腹股沟嵌顿疝的临床效果。方法用意大利赫美网塞型补片治疗112例嵌顿性腹股沟斜疝患者，其中86例合并有各种类型的其他重要脏器疾病，从嵌顿至接受手术时间为2～48h。结果全组病例无死亡，随访时间3～24个月，均未见复发。结论无张力疝修补术具有安全有效、恢复快的优点，在严格掌握适应证的前提下可以应用。