论文部分内容阅读
目的探讨肌耻骨孔在腹腔镜腹股沟疝修补术(LIHR)患者治疗中的临床应用价值。方法对我院在2011年1月~2014年1月收治的74例行腹腔镜腹股沟疝修补术患者的临床资料进行了回顾性分析，其中接受经腹腔前网片修补术的患者53例，接受完全腹膜外疝修补术患者21例，同时回顾性分析了术后腹股沟疝复发和引起并发症的相关危险因素。结果所有患者手术均成功完成，无中专开放手术患者，手术时间(53.5±6.4)min，术后发生阴囊血肿患者7例、暂时性神经感觉异常患者3例、尿潴留2例，随访期间内无疝复发患者。结论明确肌耻骨孔在腹腔镜下的解剖学结构对于成功实施腹腔镜下腹股沟疝修补术具有重要作用，对降低术后并发症发生率和疝复发率具有显著的临床效果。“,”Objective To discuss the clinical value and significance of myopectineal orifice in laparoscopic inguinal hernia repair.Methods A total of 74 cases of patients taking laparoscopic inguinal hernia repair in our hospital from Jan 2011 to Jan 2014 were selected as research subjects,and their clinical data,symptoms and recovery after operation were recorded and analyzed respectively.At the same time,the related risk factors cor elated with inguinal hernia recur ence and postoperative complications were analyzed as wel .Results Operations were completed successful y in al patients and no open surgery was produced.The operation time was (53.5±6.4)minutes,the main postoperative complications in laparoscopic hernia repair is scrotal seroma (7 cases),transient neurapraxia (3 cases) anduroschesis(2 cases).During the fol ow-ups periods,there had no recurrence was found.Conclusion A thorough understanding of the laparoscopic anatomical structure of myopectineal orifice would be important to promote operation success,and have a positive ef ect in decreasing post-operative complications and recur ence.