本文選題：腹股溝疝 + 腹腔鏡腹股溝疝手術(shù)　； 參考：《廣東醫(yī)學(xué)》2016年S1期

【摘要】：目的探討成人腹腔鏡下腹股溝疝手術(shù)術(shù)中發(fā)現(xiàn)隱匿性疝時的手術(shù)策略。方法對成人腹腔鏡下腹股溝疝手術(shù)術(shù)中發(fā)現(xiàn)隱匿性疝時采用分組選擇治療方式,其中對早期隱匿性疝(39例)采用以觀察隨訪為主的處理方式,而對真性隱匿性疝(62例)采用同期手術(shù)治療,回顧分析其臨床效果。結(jié)果將隱匿性疝采用分組手術(shù)策略治療后,僅有2例隱匿性疝(2%,2/101)發(fā)展為有癥狀的疝,在早期隱匿性疝組為其自然病程,而在真性隱匿性疝組中有1例出現(xiàn)因發(fā)生補片排斥現(xiàn)象,余患者預(yù)后良好。結(jié)論對隱匿性疝采取分組的治療策略可以獲得相對滿意的臨床療效,但還需更多的臨床試驗進一步明確及量化組別。
[Abstract]:Objective to explore the operative strategy of occult hernia in adult laparoscopic inguinal hernia surgery. Methods 39 cases of early occult hernia were treated by group selection when occult hernia was found in adult laparoscopic inguinal hernia surgery. 62 cases of true occult hernia were treated with simultaneous operation and their clinical effects were analyzed retrospectively. Results only 2 cases of occult hernia (2 / 101) developed into symptomatic hernia after group operation. In the early occult hernia group, the course of hernia was the natural course, while in the true occult hernia group, one case had the phenomenon of patch rejection. The prognosis of the remaining patients was good. Conclusion the treatment strategy of occult hernia can obtain relatively satisfactory clinical effect, but more clinical trials are needed to further define and quantify the group.
【作者單位】： 南方醫(yī)科大學(xué)附屬佛山醫(yī)院廣東省佛山市第二人民醫(yī)院普通外科;
【分類號】：R656.21
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本文編號：2015074