Objective To investigate the advantage and safety of different surgeries in the treatment of female inguinal hernia.Methods 277 cases of female inguinal hernia underwent surgery in our hospital from April 2000 to April 2010 were involved into the study.Among the patients, 147 cases were children with indirect hernia and among the adults, 115 cases were indirect hernia (3 cases of sliding hernia), 8 cases were direct hernia and 7 cases were femoral hernia The hernia in children was rntreated by high ligation together with the round ligament of uterus inside the hernial sac.The hernia in adults was treated by plain film repair in 87 cases, Kugel repair in 37 cases and plug mesh hernia repair in 6 cases.Results The hernia in 147 children did not relapse after surgery.A small amount of fluid was found by B ultrasound in one case one week after surgery, but the fluid was absorbed one month after surgery.Among the 115 female adults with hernia, the 87 cases treated by plain film repair and the 22 cases treated by Kugel repair did not relapse after surgery and did not have any complications.One case showed complications of local bleeding and retroperitoneal hematoma among the 6 cases treated by plug mesh hernia repair.The patients were followed up for two years and no relapse and no postoperative chronic pain were found.Five adults had urinary retention and were cured after indwelling catheter.Conclusion The hernia in 147 children did not relapse after surgery.A small amount of fluid was found by B ultrasound in one case one week after surgery, but the fluid was absorbed one month after surgery.Among the 115 female adults with hernia, the 87 cases treated by plain film repair and the 22 cases treated by Kugel repair did not relapse after surgery and did not have any complications.One case showed complications of local bleeding and retroperitoneal hematoma among the 6 cases treated by plug mesh hernia repair.The patients were followed up for two years and no relapse and no postoperative chronic pain were found.Five adults had urinary retention and were cured after indwelling catheter.%目的 探讨女性腹股沟疝不同手术方式的优势及安全性.方法 选取2000年4月-2010年4月我院行手术治疗的女性腹股沟疝患者277例为研究对象,其中小儿腹股沟疝147例,均为斜疝;女性成人腹股沟斜疝 115例(其中滑疝3例),直疝8例,股疝7例.小儿腹股沟疝采用连同子宫圆韧带做疝囊内环口的高位结扎术.成人采用平片修补术87例,Kugel修补术37例,充填式无张力修补术6例.结果 小儿腹股沟疝术后无复发,1例术后1周检查B超发现局部少量积液,术后1个月复查B超局部积液已经全部吸收.女性成人腹股沟斜疝采用平片修补术87例,Kugel修补术22例,术后均无复发和并发症;采用充填式无张力修补术6例,出现1例并发症:为局部出血,术后后腹膜血肿.直疝和股疝均采用Kugel修补术.术后随访2年,各种术式术后均无复发,无术后慢性疼痛患者.成人有尿潴留5例,经留置导尿管后治愈.结论 小儿女性腹股沟斜疝在内环口处连同子宫圆韧带高位结扎疝囊,可有效保证子宫圆韧带的完整性,是安全的.成人女性腹股沟斜疝需要进一步加做修补术,可采用平片修补术或Kugel修补术,不宜采用充填式无张力修补术.直疝、股疝手术可以采用Kugel修补术.
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