目的:探讨腹股沟马鞍疝无张力疝修补手术方式的选择。方法:回顾性调查206例腹股沟马鞍疝患者,其中行巴德网塞充填式修补术57例,普里灵疝装置腹膜前间隙修补术149例,观察两种修补方式的手术时间、手术方式及要点、术后并发症、恢复情况、平均住院日及复发率。结果:两种方式修补的患者围手术期均无死亡。手术时间、恢复情况、术后平均住院天数和并发症两种方式差异均无统计学意义(P gt;0.05)。患者术后平均随访分别为(2.3±0.5)和(2.2±0.7)年,随访时间无统计学差异(P gt;0.05)。普里灵疝装置修补组的费用较巴德网塞组低。57例巴德网塞修补术后有2例复发,149例普里灵疝装置腹膜前间隙修补术后无复发。结论:腹膜前间隙无张力疝修补术是腹股沟马鞍疝的首选手术方式。
Citation：
GONG Yanping,LEI Wenzhang.. The Choice of Tension-Free Hernioplasty in the Treatment of Inguinal Saddle Hernia. West China Medical Journal, 2009, 24(7): 1658-1660. doi:
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- 3. 马颂章.疝和腹壁外科的现状及进展[J].中国普外基础与临床杂志,2003,10:1-2.
- 4. RUTKOW IM,ROBBINS AW. Mesh plus hernia repair:a followup report[J]. Surgery,1995,117:597.
- 5. 骆聪.巴德疝环充填式无张力疝修补术治疗腹股沟疝[J]. 医学理论与实践, 2005,2:437-438.
- 6. GILBERT A I, GRAHAM M F, VOIGT W J.A bilayer patch device for inguinal hernia repair[J].Hernia,1999,3:161-166.
- 7. STOPPA R E,PETITJ,HENERY X．Unsutured Dacron prosthesis in groin hernias[J]．IntSurg,l975,60:411-412.
- 8. LICHTENSTEIN I L,SHULMAN A G,AMID P K,et al．The tensionfree hemioplasty[J]．Am J Surg,1989,157:188-193.
- 9. 陈耿臻,雷文章,吴利标,等. 普理灵与巴德两种疝补片的临床应用比较研究[J].四川医学, 2006,8(27):168-169.
