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目的探讨精索脂肪瘤与腹股沟疝的关系及处理方法。方法选取我科近3年收治的腹股沟疝患者15例,在疝囊处理后14例行脂肪瘤切除,1例部分切除。结果患者术后恢复正常,仅1例部分切除脂肪瘤患者术后腹股沟区外观略膨隆,局部有坠涨不适。随访3年,无脂肪瘤及腹股沟疝复发病例。结论精索脂肪瘤与腹股沟疝有一定的关系,行腹股沟疝修补术的同时切除精索脂肪瘤可预防疝的复发。
Objective To investigate the relationship between spermatic cord lipoma and inguinal hernia and its treatment. Methods Fifteen cases of inguinal hernia admitted to our department in the past three years were selected. Twenty - one patients underwent lipopectomy after the treatment of hernia sac and one patient underwent partial resection. Results The patients returned to normal postoperatively. Only one patient with partial resection of lipoma had slightly bulging appearance in the inguinal region and a partial discomfort. Follow-up 3 years, no recurrence of lipoma and inguinal hernia cases. Conclusion Spermatic lipoma and inguinal hernia have a certain relationship, the inguinal hernia repair while removal of spermatic lipoma can prevent hernia recurrence.