临床误诊误治2011，Vol.24Issue(3)：51-53,3.
提高股疝手术成功率的临床策略(附97例报告)
Clinical Strategy of Improving the Success Rate of Femoral Hernia Surgery( A Report of 97 Cases)
吴建国 1聂明明 1薛绪潮 1毕建威 1方国恩1
作者信息
- 1. 200433,上海,第二军医大学附属长海医院普外科
- 折叠
摘要
Abstract
Objective To study the diagnosis and surgery treatment of femoral hernia. Methods The clinical data of 97 cases of femoral hernia was retrospectively analyzed. All the patients were diagnosed by examining palpable lump in the femoral and imaging result, and underwent operation except in 1 case of death. 87 cases were treated by inguinal ligament approach, 1 case was treated by inguinal ligament approach, and 8 cases were treated by the exploratory incision of lower abdomen. 68 cases (70.83％) were treated by McVay hernia repair, 13 cases ( 13.54％ ) were treated by high ligation, 14 cases ( 14.58％ ) were treated by Lichtenstein hernia repair, and 1 case ( 1.04％ ) was treated by femoral hernioplasty under inguinal ligament. All cases were given antibiotics after operation. Results in 96 patients, 94 cases were cured with surgery, with 2 cases of death because of emergence of heart and lung failure after operation, and the total mortality was 3.09％; and 1 case relapsed one year after operation in 94 cases followed up for 6 months to 5 years. Conclusion There is a high incidence of incarceration or strangulated for femoral hernia. Physical examination and ultrasonography are helpful for diagnosing femoral hernia. Early surgical treatment is an effective approach to reduce complications and mortality.关键词
疝,股/外科手术/McVay疝修补术/无张力疝修补术Key words
Hernia, cohort/ Surgical procedures/ McVay hernia repair/ Lichtenstein hernia repair分类
医药卫生引用本文复制引用
吴建国,聂明明,薛绪潮,毕建威,方国恩..提高股疝手术成功率的临床策略(附97例报告)[J].临床误诊误治,2011,24(3):51-53,3.
