摘要
目的探讨腹股沟疝无张力修补术后迟发性补片感染的治疗。方法对2015年1月～2016年6月收治的腹股沟疝无张力修补术后迟发性补片感染的8例患者临床资料进行回顾性分析。疝修补方式：单纯平片修补1例,网塞-平片修补4例,腹膜前间隙修补3例。感染发生于腹股沟疝无张力修补术后4～12个月,平均7个月,其中左侧4例,右侧4例。均行手术取出感染的网片。结果5例行一期缝合,3例行二期缝合,均治愈出院,伤口愈合良好,无明显不适。平均随访10（2～18）个月,均未出现伤口红肿、感染复发、肠瘘等。1例患者于术后3个月出现腹股沟疝复发,再次行无张力疝修补术。结论通过手术取出感染补片是迟发性补片感染的有效治疗手段。
Objective To discuss and summarize the experience in the treatment of late-onset mesh infection after tension-free hernia repair. Methods The clinical data of 8 patients suffered from late-onset infection after tension-free hernia repair from January 2015 to June 2016 in our department were analyzed retrospectively. All infections occurred 4 to 12 months after the tension-free herniorrhaphy,including 4 in left and 4 in right. The infected mesh of 8 patients was removed by reoperation. Results All patients（ 5 of primary suture and 3 of secondary suture） were discharged successfully. With a follow-up of 2 to 18 months（ average 10 months）,there was no wound infection,infection relapse and intestinal fistula. One case was found hernia recurrence 3 months after the reoperation and repaired by tension-free hernioplasty. Conclusion Removing the infected mesh is an effective surgical intervention to treat late-onset infection of inguinal hernia.
出处
《中国现代手术学杂志》
2016年第6期412-414,共3页
Chinese Journal of Modern Operative Surgery
关键词
疝
腹股沟
疝修补术
感染
网片
hernia
inguinal
hernia repair
infection
mesh
作者简介
梁晟，男，25岁，中南大学湘雅二医院老年外科硕士研究生。
通信作者：刘栋才，男，52岁，中南大学湘雅二医院老年外科教授。
