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find Keyword "无张力疝修补术" 19 results
  • 平片式无张力疝修补术在老年腹股沟疝中的应用

    【摘要】 目的 总结平片式无张力疝修补术应用于老年腹股沟疝的临床效果。 方法 2002年1月-2007年12月,对收治的106例行平片式疝修补术患者的临床资料进行回顾性分析。 结果 106例均顺利完成手术,平均手术时间 48(30~65) min,术后住院时间3~6 d,随诊 6~24个月,1例复发,2例腹股沟区疼痛,经对症处理后好转。 结论 平片式无张力疝修补术治疗老年患者腹股沟疝具有操作简便、创伤小、恢复快、复发率低等优点,值得推广。

    Release date:2016-08-26 02:21 Export PDF Favorites Scan
  • The Progression of Diagnosis and Treatment of Abdominal Incisional Hernia

    】ObjectiveTo review the recent studies on the diagnosis and treatment of abdominal incisional hernia. MethodsThe literatures in recent years on the etiological factor,pathology,epidemiology, diagnosis and therapeusis were reviewed and summarized. ResultsThe abdominal incisional hernia is a serious complication of abdominal operation which affect the patient’s quality of life severely. The etiological factors and treatments were complex. Conclusion Prophylaxis of abdominal incisional hernia is important. The tension free hernioplasty using synthetic materials is very popular and effective.

    Release date:2016-08-28 04:47 Export PDF Favorites Scan
  • Plug Mesh TensionFree Hernioplasty Under Local Anesthesia (Report of 70 Cases)

    目的报告在局麻下行疝环充填式无张力疝修补术治疗腹股沟疝的体会。方法对该院70例腹股沟疝患者行疝环充填式无张力修补术后的早期自主活动、进食、排尿以及住院日期等情况进行观察。结果在局麻下行疝环充填式无张力疝修补术较之硬膜外麻醉或全麻有更宽的手术指征,且术后进食早,下床早,排尿困难明显降低,住院时间缩短,费用也较低。结论在局麻下行疝环充填式无张力疝修补术,是一种对人体生理功能干扰小、术后恢复快、并发症少、简单易掌握的理想方法之一。

    Release date:2016-08-28 04:47 Export PDF Favorites Scan
  • The Clinical Application of TensionFree Repair to Treatment of Hernia

    目的探讨无张力疝修补术在双侧腹股沟疝中的临床应用价值。 方法1999年5月至2002年4月采用无张力疝修补术治疗双侧腹股沟疝25例,其中采用充填法18例, 双层补片5例, 一侧充填一侧双层补片2例。结果全组病例切口均一期愈合, 术后5~7 d出院,随访至今无复发。结论无张力疝修补术具有手术创伤小、痛苦少、术后恢复快等优点, 是治疗双侧腹股沟疝的最佳术式。

    Release date:2016-08-28 04:47 Export PDF Favorites Scan
  • Tension-Free Herniorrhaphy: A Retrospective Analysis in 716Cases

    目的 探讨腹股沟疝的病因及如何降低无张力疝修补术后的复发率。方法 对716例行无张力疝修补术的腹股沟疝患者的临床资料进行回顾性分析。 结果 所有患者手术均顺利,无手术死亡和切口感染。术后出现阴囊积液11例,经穿刺抽液后痊愈; 并发尿潴留23例,经导尿处理后24~48 h恢复正常。术后随访3~51个月,复发1例,复发率为0.1%。结论 腹内高压是导致成人腹股沟疝的重要因素,为有效降低无张力疝修补术后复发率,除了建立腹股沟区现代解剖生理的新概念外,必须注意防治腹内高压及遵循手术治疗中的“个体化” 原则。

    Release date:2016-08-28 04:44 Export PDF Favorites Scan
  • The Application of Plug Mesh TensionFree Hernioplasty of Abdominal External Hernia (Report of 58 Cases)

    目的探讨疝环充填式无张力疝修补术在腹外疝修补术中的价值。方法回顾性总结1999年5月至2002年10月我院应用疝环充填式无张力疝修补术治疗腹外疝患者58例,共62例次。其中合并高血压、心肺功能不全、前列腺肥大、糖尿病者占39.7%(23/58)。 结果切口均为一期愈合。术后3~7 d出院。随访1~29个月,平均18个月,随访率为89.7%(52/58),无一例复发。结论疝环充填式无张力疝修补术具有创伤小、符合解剖生理、痛苦少、恢复快及复发率低等优点。

    Release date:2016-08-28 04:49 Export PDF Favorites Scan
  • Laparoscopic Compared with Open Methods of Groin Hernia Repair in Adults: A Systematic Review of Clinical Controlled Trials

    Objective To evaluate the clinical effectiveness of laparoscopic and open tension-free hernia repairs in adults. Methods A fully recursive literature search was conducted in PubMed (2002 to September, 2009), EMBASE (2002 to September, 2009), Cochrane Central Register of Controlled Trials (Issue 3, 2009), CBM (2002 to September, 2009) , CNKI and VIP Chinese Scientific Journals Full-text Database (2002 to September, 2009) in any language. Randomized or quasi-randomized controlled trials of inguinal hernia treated by laparoscopic and open methods in adults were considered for inclusion. The four analyzed outcome variables were chronic pain, long term recurrence, intraoperative complications and postoperative complication. Data related to clinical outcomes were extracted by two reviewers independently. Statistical analyses were carried out using RevMan 5.0 software. Results Eighteen published reports of eligible studies involving 5816 participants met the inclusion criteria. Compared with open methods, laparoscopic inguinal hernia had no significant differences in long-term recurrence rate [OR 1.53, 95%CI (1.00 to 2.34), P=0.05] and postoperative complication rate [OR 0.74, 95%CI (0.52 to 1.05), P=0.09], and had lower tendency chronic pain [OR 0.45, 95%CI (0.34 to 0.59) , Plt;0.000 01] with statistical significance. There were significant differences in intraoperative complications between the two groups [OR 2.15, 95%CI (1.32 to 3.53), P=0.002]. Conclusion Current evidence suggests that laparoscopic hernia repair is superior to open methods in chronic pain .There is no significant difference in long-term recurrence rate and postoperative complications between the two methods. More studies are needed for intraoperative complications and other long-term postoperative complications.

    Release date:2016-09-07 11:23 Export PDF Favorites Scan
  • Tension-Free Hernioplasty for Groin Hernia in Adult:A Meta-Analysis

    Objective To evaluate the effectiveness of inguinal hernia treated by tension-free hernioplasty in adult. Methods Electronic databases were searched including CNKI (1993 to 2003), MEDLINE (1993 to 2003) and OVID (1993 to 2003). Personal contact with experts in the field of tension-free hernioplasty was performed to identify potentially relevant trials. Randomized controlled trials of plug amp; Mesh versus Mesh only repair and laparoscopic versus open Mesh hernia repair in recurrence, peri-operative complication or long term postoperative complication were included. Data related to the clinical outcome were extracted by two reviewers independently. Statistical analysis was performed by using RevMan 4.2 software. Results Twenty one studies involving 4 154 patients met the inclusion criteria from 1993 to 2003. Compared with Mesh only repair, plug amp; Mesh repair had no significant difference in recurrence rate (OR 1.14, 95%CI 0.37 to 3.47, P=0.82), preoperative complication rate (OR 1.01, 95%CI 0.63 to 1.63, P=0.95) and long term postoperative complication rate (OR 0.46, 95%CI 0.18 to 1.16, P=0.1). Compared with open Mesh hernioplasty, transabdominal preperitoreal repair (TAPP) group had no significant difference in recurrence rate (OR1.24, 95%CI 0.65 to 2.36, P=0.52), preoperative complication rate (OR 0.89, 95%CI 0.65 to 1.22, P=0.46) and persistent pain (OR 0.76, 95%CI 0.48 to 1.19, P=0.22); totally extrapevitoreal repair (TEP) group had no significant difference in recurrence rate (OR1.07, 95%CI 0.51 to 2.24, P=0.70) or persistent pain (OR 0.95, 95%CI 0.55 to 1.65, P=0.86), and had lower tendency persistent pain (OR 0.50, 95%CI 0.34 to 0.73, P=0.000 4) with statistical significance. Conclusion Current evidence suggests that there is no significant difference between anterior approach plug amp; Mesh repair (Rutkow’s repair) and the Mesh only repair (Lichtenstein’s repair). TEP of Laparoscopic hernioplasty is superior to open Mesh hernia repair in preoperative complication. More researches are needed for recurrence rate, persistent pain.

    Release date:2016-09-07 02:25 Export PDF Favorites Scan
  • 三层阻滞局部麻醉在腹股沟疝无张力修补术中的应用

    【摘要】 目的 总结三层阻滞局部麻醉法在腹股沟疝无张力疝修补术中的应用价值。 方法 对2008年3月-2010年3月收治的72例腹股沟疝患者分别采用传统局部麻醉(A组,37例)和三层阻滞局部麻醉(B组,35例)方法,两组患者性别、年龄、疝类型等一般资料比较差异无统计学意义(Pgt;0.05),有可比性。所有患者均接受无张力疝修补术。采用视觉模拟评分(visual analogue scale,VAS)比较术中及术后疼痛程度。 结果 B组术中VAS评分显著低于A组,差异有统计学意义(Plt;0.01);术后各时间点两组VAS评分比较差异均无统计学意义(Pgt;0.05)。 结论 在腹股沟疝术中,三层阻滞局部麻醉法明显优于传统局部麻醉法,是一种操作简便、安全、有效的方法。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • The Choice of Tension-Free Hernioplasty in the Treatment of Inguinal Saddle Hernia

    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(Pgt;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(Pgt;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。

    Release date:2016-09-08 10:01 Export PDF Favorites Scan
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