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中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (05) : 502 -504. doi: 10.3877/cma.j.issn.1674-392X.2022.05.003

综述

成人嵌顿/绞窄性腹股沟疝的诊疗进展
吴芳芳1, 俞永江2,()   
  1. 1. 212000 镇江,江苏大学附属医院甲状腺乳腺外科
    2. 730000 兰州大学第一医院普外一科
  • 收稿日期:2022-04-22 出版日期:2022-10-18
  • 通信作者: 俞永江

Progress of diagnoses and treatment of incarcerated/strangulated inguinal hernia in adults

Fangfang Wu1, Yongjiang Yu2,()   

  1. 1. Department of Thyroid and Breast Surgery, Affiliated Hospita1 of Jiangsu University, Zhenjiang 212000, China
    2. Department of General Surgery One, the First Hospita1 of Lanzhou University, Lanzhou 730000, China
  • Received:2022-04-22 Published:2022-10-18
  • Corresponding author: Yongjiang Yu
引用本文:

吴芳芳, 俞永江. 成人嵌顿/绞窄性腹股沟疝的诊疗进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2022, 16(05): 502-504.

Fangfang Wu, Yongjiang Yu. Progress of diagnoses and treatment of incarcerated/strangulated inguinal hernia in adults[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(05): 502-504.

嵌顿性腹股沟疝定义为疝内容物无法还纳腹腔,如果合并疝内容物的血供障碍,则称之为绞窄。作为普外科急症,一旦诊断明确,应急诊手术治疗。嵌顿/绞窄性腹股沟疝的诊断主要依据病史及专科体格检查,结合必要的实验室及影像学检查。嵌顿/绞窄性腹股沟疝的治疗包括疝内容物还纳,疝囊关闭+二期无张力修补、开放无张力修补术、腹腔镜无张力修补术等手术方式。近年来,无张力性腹股沟疝修补治疗嵌顿/绞窄性腹股沟疝越来越受到人们的关注。本文针对嵌顿/绞窄性腹股沟疝的诊疗进展做简要综述。

Incarcerated inguinal hernia is defined as inguinal hernia with inability to reduce the hernia contents into the abdomen. Strangulation is defined when the blood supply to the hernia contents is compromised. As an emergency condition, once the patient was diagnosed with incarcerated/strangulated inguinal hernia, they should be treated with emergency surgery immediately. The incarcerated/strangulated inguinal hernia is diagnosed by medical history and through physical examination combined with necessary laboratory and image examinations. The surgical treatment for incarcerated/strangulated inguinal hernia includes closure of the hernia sac after reduction of the hernia contents and tension-free repair on a second operation, using open tension-free hernia repair, and laparoscopic tension-free hernia repair. Recently, the practice of tension-free hernia repair for incarcerated/strangulated inguinal hernia has attracted more and more attention. This article briefly reviews the progress in the diagnosis and treatment of incarcerated/ strangulated inguinal hernia.

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