不全疝

Objective:To summarize therapeutic effect and experience of nonstapling of mesh during endoscopic total extraperitoneal inguinal hernioplasty.

目的：总结不钉合补片的腹腔镜全腹膜外疝修补术临床应用体会和经验。

Objective To evaluate the clinical experience and skills of laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh and without using a balloon dissection in order to spread and popularize this kind of operation.

目的 总结不钉合补片的腹腔镜下全腹膜外免气囊分离器腹股沟疝修补术临床应用的初步体会和经验，为该手术的推广及普及提供借鉴。

Methods:From February 2004 to March 2006,34 inpatients suffered inguinal hernia, underwent endoscopic total extraperitoneal hernioplasty under general anesthesia,with non-stapling of mesh.

2004年2月至2006年3月深圳市人民医院收治的34例腹股沟疝病人，全部在全麻下行TEP手术，补片不作钉合固定。

During a median follow-up of 28.9 months, 39 (62%) of 63 suriing patients had one or more late complications: biliary stricture in 4 (6%), pseudocyst in 5 (8%), pancreatic fistula in 8 (13%), gastrointestinal fistula in 1 (2%), delayed collections in 3 (5%), and incisional hernia in 1 (2%); interention was required in 10 (16%) patients.

在接下来的平均28.9个月中，63位生存者中有39人（62%）发生一种或更多的远期并发症：胆道狭窄4人（6%），假囊肿形成5人（8%），胰瘘8人（13%），胃肠瘘1人（2%），延迟愈合3人（5%），切口疝1人（2%）；10人（16%）需要干预治疗。63位生存者中有16人（25%）的胰腺外分泌功能不全，58位无糖尿病史的病人中有19人（33%）的胰腺内分泌功能不全。

On the other hand, the more important thing is because the urban housing is a kind of heterogeneity products.

另一方面，更重要的是由于城市住房是一种异质性产品。

Climate histogram is the fall that collects place measure calm value, cent serves as cross axle for a few equal interval, the area that the frequency that the value appears according to place is accumulated and becomes will be determined inside each interval, discharge the graph that rise with post, also be called histogram.

气候直方图是将所收集的降水量测定值，分为几个相等的区间作为横轴，并将各区间内所测定值依所出现的次数累积而成的面积，用柱子排起来的图形，也叫做柱状图。