【摘要】 目的 研究肠坏死肠破裂合并腹股沟斜疝术中经腹斜疝疝囊缝闭术。 方法 2002年3月～2005年3月急诊收治肠坏死肠破裂合并腹股沟斜疝12例， 其中2例疝囊巨大，行疝环缝闭术。10例均行疝囊双螺旋荷包缝合术。 结果 10例手术均顺利完成，术后仅1例形成腹股沟炎性包块。术后腹腔引流管放置2～4天，平均住院9.3天。 结论 肠坏死肠破裂合并斜疝，如果疝囊在腹股沟均可同时行疝囊双螺旋荷包缝合。取得了较好的临床疗效。

    【关键词】 经腹腔疝环缝闭术；肠坏死肠破裂；腹股沟斜疝

    【Abstract】 Objective To study how to manage hernia and necrotic intestines and enterorrhexis. Methods Herniorrhaphy was used in two patients and helical pouch herniorrhaphy was used in ten patients. Necrotic intestines or enterorrhexis appeared in all patients. Results The postoperative hospital stay was nine point three days averagely. Ten patients who were used helical pouch herniorrhaphy were all recovery.Conclusion The method of helical pouch herniorrhaphy was effective in the patients who sickened necrotic intestines or enterorrhexis.

    【Key words】 herniorrhaphy；necrotic intestines；indirect inguiual hernia

    本院自2002年3月～2005年3月共急诊收治各类肠切除肠吻合术患者103例 ......