<trans-title xml:lang="en"/>_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

姜明 ,  房仲平 , 蒋光富

四川大学华西广安医院普外二科（四川广安 638000）;

Corresponding author：

房仲平, Email: fangzhongpin@tom.com

Keywords：

复合疝; 腹膜前间隙修补; 文献复习

DOI：

10.7507/1007-9424.201608041

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的探讨腹膜前间隙法修补复合疝的临床诊疗经验。方法回顾性分析笔者所在医院于 2011 年 7 月至 2015 年 10 月期间收治的 3 例复合疝病例的临床资料和诊疗过程，并进行相关文献复习。结果 3 例患者均行择期局麻下疝修补术，1 例患者术前诊断为腹股沟疝合并股疝，余 2 例患者术前均诊断为腹股沟疝。3 例患者均经术中探查确诊为复合疝。结合文献复习，复合疝的发生率极低，临床症状隐匿，故容易被混淆及漏诊。对于术前有腹股沟区多个包块病史者及体质消瘦者，应高度警惕复合疝可能，术中应仔细探查腹股沟管及股管，以防遗漏疝。应用大网片行腹膜前间隙修补可同时修补 3 个疝，且操作简便、效果良好，同时降低了医疗费用。结论复合疝是一种少见的疝类型，术前诊断较困难，术中易漏诊。通过不断积累病例，完善修补技术，对术前明确诊断、及时治疗及提高患者满意度均大有裨益。

Citation： 姜明, 房仲平, 蒋光富. . CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(3): 373-375. doi: 10.7507/1007-9424.201608041 Copy

1.	李三荣, 郑启昌. 疝环充填式无张力疝修补术治疗老年腹股沟马鞍疝的疗效观察. 华中医学杂志, 2007, 31(4): 290-291.
2.	马颂章, 李基业, 郑民华. 成人腹股沟疝、股疝和腹部手术切口疝手术治疗方案 (2003 年修订稿). 中华外科杂志, 2004, 42(14): 834-835.
3.	谭社荣, 陈杰, 申英末. 146 例马鞍疝诊治体会. 中华疝和腹壁外科杂志(电子版), 2011, 5(2): 18-20.
4.	Suppiah A, Gatt M, Barandiaran J,et al. Outcomes of emergency and elective femoral hernia surgery in four district general hospitals: a 4-year study. Hernia, 2007, 11(6): 509-512.
5.	Bendavid R. A femoral “umbrella” for femoral hernia repair. Surg Gynecol Obstet, 1987, 165(2): 153-156.
6.	马颂章主译. 腹疝和腹股沟疝的分类//Nyhus & Condon’s 疝外科学. 第 5 版. 北京: 人民卫生出版社, 2003: 68-73.
7.	Swarnkar KJ, Hooper N, Stephenson BM. Outcome of patients with severe chronic groin pain following repair of groin hernia (Br J Surg 2002; 89: 1310-1315). Br J Surg, 2003, 90(3): 367-368.
8.	陈以安, 王建方, 许建林, 等. 个体化无张力修补马鞍疝 22 例报告. 中国卫生检验杂志, 2008, 18(12): 2827-2828.
9.	McGugan E, Burton H, Nixon SJ,et al. Death following hernia surgery: room for improvement. J R Coll Surg Edinb, 2000, 45(3): 183-186.
10.	Deitch EA, Soncrant MC. The value of ultrasound in the diagnosis of nonpalpable femoral hernias. Arch Surg, 1981, 116(2): 185-187.
11.	龚艳萍, 雷文章. 腹股沟马鞍疝无张力疝修补手术方式的选择. 华西医学, 2009, 24(7): 1658-1660.
12.	Licheri S, Edras E, Pomata M,et al. Femoral hernia repair with Bard Mesh Dart Plug. Chir Ital, 2003, 56(5): 705-710.
13.	Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorrhaphy. Br J Surg, 2002, 89(4): 486-488.
14.	戴睿武, 陈莉萍, 何发群, 等. PHS 在腹股沟马鞍疝无张力修补 41 例分析. 中华普外科手术学杂志(电子版), 2009, 3(3): 53-55.
15.	马颂章主译. 经正中线切口腹膜前腹股沟疝修补法//Nyhus & Condon’s 疝外科学. 第 5 版. 北京: 人民卫生出版社, 2003: 186-203.
16.	Uen YH, Wen KC. An improved method for deploying the polypropylene underlay patch of the PROLENE Hernia System. Am Surg, 2007, 73(5): 468-471.
17.	Stoppa R, Petit J, Henry X. Unsutured Dacron prosthesis in groin hernias. Int Surg, 1975, 60(8): 411-412.
18.	雷文章, 黄建朋. 腹膜前间隙无张力修补马鞍疝的体会. 中国普外基础与临床杂志, 2009, 16(2): 92-94.
19.	Amid PK. Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia, 2004, 8(1): 1-7.

1. 李三荣, 郑启昌. 疝环充填式无张力疝修补术治疗老年腹股沟马鞍疝的疗效观察. 华中医学杂志, 2007, 31(4): 290-291.
2. 马颂章, 李基业, 郑民华. 成人腹股沟疝、股疝和腹部手术切口疝手术治疗方案 (2003 年修订稿). 中华外科杂志, 2004, 42(14): 834-835.
3. 谭社荣, 陈杰, 申英末. 146 例马鞍疝诊治体会. 中华疝和腹壁外科杂志(电子版), 2011, 5(2): 18-20.
4. Suppiah A, Gatt M, Barandiaran J,et al. Outcomes of emergency and elective femoral hernia surgery in four district general hospitals: a 4-year study. Hernia, 2007, 11(6): 509-512.
5. Bendavid R. A femoral “umbrella” for femoral hernia repair. Surg Gynecol Obstet, 1987, 165(2): 153-156.
6. 马颂章主译. 腹疝和腹股沟疝的分类//Nyhus & Condon’s 疝外科学. 第 5 版. 北京: 人民卫生出版社, 2003: 68-73.
7. Swarnkar KJ, Hooper N, Stephenson BM. Outcome of patients with severe chronic groin pain following repair of groin hernia (Br J Surg 2002; 89: 1310-1315). Br J Surg, 2003, 90(3): 367-368.
8. 陈以安, 王建方, 许建林, 等. 个体化无张力修补马鞍疝 22 例报告. 中国卫生检验杂志, 2008, 18(12): 2827-2828.
9. McGugan E, Burton H, Nixon SJ,et al. Death following hernia surgery: room for improvement. J R Coll Surg Edinb, 2000, 45(3): 183-186.
10. Deitch EA, Soncrant MC. The value of ultrasound in the diagnosis of nonpalpable femoral hernias. Arch Surg, 1981, 116(2): 185-187.
11. 龚艳萍, 雷文章. 腹股沟马鞍疝无张力疝修补手术方式的选择. 华西医学, 2009, 24(7): 1658-1660.
12. Licheri S, Edras E, Pomata M,et al. Femoral hernia repair with Bard Mesh Dart Plug. Chir Ital, 2003, 56(5): 705-710.
13. Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorrhaphy. Br J Surg, 2002, 89(4): 486-488.
14. 戴睿武, 陈莉萍, 何发群, 等. PHS 在腹股沟马鞍疝无张力修补 41 例分析. 中华普外科手术学杂志(电子版), 2009, 3(3): 53-55.
15. 马颂章主译. 经正中线切口腹膜前腹股沟疝修补法//Nyhus & Condon’s 疝外科学. 第 5 版. 北京: 人民卫生出版社, 2003: 186-203.
16. Uen YH, Wen KC. An improved method for deploying the polypropylene underlay patch of the PROLENE Hernia System. Am Surg, 2007, 73(5): 468-471.
17. Stoppa R, Petit J, Henry X. Unsutured Dacron prosthesis in groin hernias. Int Surg, 1975, 60(8): 411-412.
18. 雷文章, 黄建朋. 腹膜前间隙无张力修补马鞍疝的体会. 中国普外基础与临床杂志, 2009, 16(2): 92-94.
19. Amid PK. Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia, 2004, 8(1): 1-7.

Previous Article
Next Article
The research progress of intraductal papillary mucinous neoplasms

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content