聚丙烯补片材料在腹股沟疝修补中的临床应用研究

目的:采用生物材料补片进行修补,加强腹壁薄弱区域实现功能重建,分析该方法治疗腹股沟疝的临床疗效。方法:选择我院收治的无嵌顿性择期腹股沟疝手术患者30例,随机分为传统修补组与生物补片修补组。比较患者的围手术期指标(手术时间、出血量、住院时间、术后下地活动时间、镇痛药物应用例数)、临床疗效,通过随访比较术后1个月、3个月、6个月患者的VAS评分及主观满意度,记录切口感染及其他并发症的发生情况。结果:所有患者均顺利完成手术,并完成半年以上随访。研究组的手术时间、术中失血量、住院时间、术后下地活动时间、镇痛药物应用均明显短于或低于对照组(P0.05)。两组患者术后1个月、3个月、6个月的VAS评分、主观满意度均较术前显著降低(P0.05),但两组之间相比差异无统计学意义(P0.05)。结论:采用生物补片材料修补腹股沟疝的手术创伤较小且患者恢复期短,近期疗效及安全性与传统手术相当。

Research on the Clinical Application of Polypropylene Patch Material in the Treatment of Inguinal Hernia

ABSTRACT Objective: To analyze the clinical effect of the repair of inguinal hernia with biomaterial patch to strengthenthe recon- struction of the weak abdominal wall on the inguinal hernia. Methods: Thirty patients with non strangulated inguinal hernia who were treated in our hospital were randomly divided into the traditional repair group and the biological patch repair group according to the pa- tients'' wishes. The clinical curative effect was compared between the two groups. The patients were followed up for 1 month, 3 months and 6 months after operation. The VAS score and subjective satisfaction were recorded, and incision infection and other complications were recorded. Results: All patients were successfully completed the operation, and more than six months'' follow-up. The operation time, intraoperative blood loss, length of hospital stay, time of postoperative ground movement, analgesic drug use were significantly shorter or lower than those of the control group (P<0.05). The VAS score and subjective satisfaction of both groups were significantly lower than those before operation (P<0.05), but there was no significant difference between the two groups (P>0.05). Conclusion: There was less surgical trauma and shorter recovery period in biological patch repair group, but the safety and short-term effects were comparable with the traditional surgery.