第41卷第2期2023年4月广东医科大学学报JOURNALOFGUANGDONGMEDICALUNIVERSITYVol.41No.2Apr.2023203慢性肾功能衰竭腹膜透析患者合并腹股沟疝的治疗体会陈焕德，林满洲，陈明*，陈嘉欣，李啸天（广东医科大学附属医院疝和腹壁外科，广东湛江524000）摘要：目的总结慢性肾功能衰竭腹膜透析患者合并腹股沟疝的临床治疗经验。方法对30例行Lichtenstein无张力修补术的腹膜透析合并腹股沟疝患者进行回顾性分析，收集患者一般资料、手术时间、术中出血量、平均住院时间、术后并发症及预后情况。结果30例患者均顺利完成Lichtenstein无张力修补术，平均手术时间为（56.3±26.2）min，术中出血量（5.2±3.6）mL，平均住院时间（4.5±2.4）d。术后随访出现血清肿、慢性疼痛各1例，经保守治疗后症状好转。围术期中30例患者均采用临时中心静脉插管无肝素化血液透析作为过渡性透析治疗，术后2周逐渐恢复半量或全量腹透。术后随访6~72个月，未发现腹股沟疝复发。结论Lichtenstein无张力修补术疗效显著，术后并发症轻微，可作为腹膜透析患者合并腹股沟疝时的理想术式，而无肝素化血液透析可作为过渡性透析治疗的选择。关键词：腹膜透析；腹股沟疝；无张力修补术；慢性肾功能衰竭中图分类号：R656文献标志码：A文章编号：2096-3610（2023）02-0203-03TreatmentofperitonealdialysispatientswithchronicrenalfailurecomplicatedwithinguinalherniaCHENHuan-de,LINMan-zhou,CHENMing*,CHENJia-xin,LIXiao-tian(DepartmentofHerniaandAbdominalWallSurgery,AffiliatedHospitalofGuangdongMedicalUniversity,Zhanjiang524000,China)Abstract:ObjectiveTosummarizetheexperiencesinclinicaltreatmentofperitonealdialysispatientswithchronicrenalfailurecomplicatedwithinguinalhernia.MethodsAretrospectiveanalysiswasconductedon30peritonealdialysispatientscomplicatedwithinguinalherniawhounderwentLichtenstein’stension-freerepair.Thegeneraldata,operationtime,intraoperativebleeding,averagehospitalstay,postoperativecomplicationsandprognosisofallpatientswerecollected.ResultsAllthe30patientsweresuccessfullytreatedwithLichtenstein’stension-freerepair,withthemeanoperationtimeof(56.3±26.2)min,theintraoperativebleedingof(5.2±3.6)mL,andmeanhospitalstayof(4.5±2.4)d.Therewere1caseofseromaand1caseofchronicpainidentifiedinpostoper...
