摘要目的 总结应用经腹膜前腹股沟疝无张力修补术治疗嵌顿疝和(或)绞窄疝的治疗效果.方法 回顾性分析2008年3月至2015年3月首都医科大学附属北京朝阳医院经腹膜前腹股沟疝无张力修补术治疗嵌顿疝和(或)绞窄疝(嵌顿疝组)89例患者临床资料,与择期手术(择期组)的1 471例患者对比.结果 嵌顿疝组平均手术时间(42±8)min、平均住院天数(4.0±2.6)d和平均复工时间(9.0±3.3)d比择期组的平均手术时间(38 ±4) min、平均住院天数(3.0±0.6)d和平均复工时间(8.1±2.5)d长,差异有统计学意义(P＜0.05);嵌顿疝组术中平均出血量(10± 14)ml略高于择期组(7 ±4)ml,差异无统计学意义(P=0.148);嵌顿疝组术后感染1例(1.1％),经换药痊愈,血清肿20例(22.5％),自行吸收或穿刺抽液后痊愈.随访无复发.腹股沟疝择期手术组术后感染5例(0.3％),经换药痊愈,血清肿187例(12.7％),自行吸收或穿刺抽液后痊愈,术后复发1例.结论 开放腹膜前腹股沟无张力疝修补术是一种安全和可供选择的治疗嵌顿疝和(或)绞窄疝的手术方式.

abstractsObjective To evaluate preperitoneal tension-free herniorrhaphy for incarcerated and (or) strangulated inguinal hernia.Methods During Mar,2008 to Mar,2015,89 incarcerated and (or)strangulated hernia patients(incarcerated hernia group) and 1 741 primary inguinal hernia patients (elective group) underwent preperitoneal tension-free herniorrhaphy.Results The operation time (42 ± 8 min),length of stay (4.0 ± 2.6 d) and the time return to work (9.0 ± 3.3 d) in incarcerated hernia group were longer than in elective group of (38 ± 4 min),(3.0 ± 0.6 d) and (8.1 ± 2.5 d),respectively (all P ＜0.01).Blood loss [(10 ± 14 ml) vs (7 ±4 ml)] was compareble,P =0.148.There were 1 infection case and 20 seroma cases (22.5％) vs 5 infection cases and 187 seroma cases (12.7％) all P ＞0.05.Followup found hernia recurrence in one case in elective group.Conclusion Preperitoneal tension-free herniorrhaphy is safe and effective for the treatment of incarcerated and(or) strangulated hernia.