巨大腹股沟阴囊疝手术治疗的研究进展

Progress in the Surgical Treatment of Giant Inguinal Scrotal Hernia

摘要: 巨大腹股沟阴囊疝定义为站立状态下腹股沟疝下界延伸至大腿内侧中点及以下。巨大腹股沟阴囊疝在临床上并不常见，但仍在部分经济欠发达地区出现。巨大腹股沟阴囊疝一旦发生将会严重影响患者生活质量，致使患者出现活动严重受限、排尿困难、阴囊皮肤溃烂等不适，严重者甚至可导致肠梗阻、肠坏死、肠穿孔等灾难性严重腹腔并发症，危及患者生命安全。基于文献报道较少及其临床上较罕见，尚未有统一手术治疗方案，需要依据患者病情及临床医师经验制定个性化治疗方案。该文就巨大腹股沟阴囊疝的手术治疗最新进展进行综述。

Abstract: Giant inguinal scrotal hernia was defined as standing extension of the inferior inguinal hernia to and below the midpoint of the medial thigh. Giant inguinal scrotal hernia is not common, but still in some economically underdeveloped areas. Giant inguinal scrotal hernia once occurring will seri-ously affect the quality of life, resulting in patient discomforts such as severely limited activity, dys-uria, scrotal skin ulceration, even intestinal obstruction, intestinal necrosis, intestinal perforation and other catastrophic serious abdominal complications. It will endanger patient life safety. Based on the few reports in the literature and their clinical rarity, there is no unified surgical treatment plan, so the personalized treatment plan needs to be formulated according to the patient’s condi-tion and clinician experience. This article reviews the recent progress in the surgical treatment of giant inguinal scrotal hernia.