轻量网片对于无张力疝修补术后慢性疼痛的影响(超普网片与传统聚丙烯网片的比较)  

The effect of lightweight mesh on chronic pain after tension-free hernioplasty:the comparison of Ultrapro with traditional Prolene mesh

作　　者：张新[1] 张林[1] 谢加东[1] 王荫龙[1] 

机构地区：[1]天津市人民医院疝和腹壁外科,300121

出　　处：《中华疝和腹壁外科杂志（电子版）》2010年第4期1-3,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的比较轻量网片(UltraPro超普)和传统聚丙烯网片对疝修补术后慢性疼痛的影响。方法采用单盲法,对60例原发双侧腹股沟疝患者,实施Lichtenstein平片无张力疝修补术,一次性治疗双侧腹股沟疝,术中随机选取超普网片与聚丙烯网片分别植入患者双侧腹股沟区。在术后1、3、6、12个月进行随访,对比两侧腹股沟区的疼痛感。结果相对于传统聚丙烯网片,超普网片在术后3个月和6个月时慢性疼痛的发生率低,疼痛的程度更轻。结论超普网片可以减轻短期内(1年内)的慢性疼痛感,从而改善患者生活质量。Objective To investigate the influence of lightweight mesh（ultrapro） compared with heavyweight mesh（prolene） on the chronic pain after tension-free hernioplasty.Methods It was a prospective randomized single-blind study.a total of 60 bilateral inguinal hernia patients were underwent tension-free hernioplasty of Lichtenstein procedure.Ultrapro and Prolene mesh are randomised implanted into each side of every patient.The patients are followed up at 1 month,3 month,6 month,and 12 month after operation to compare chronic pain of each side.Results Compared with the conven tional polypropylene mesh,ultrapro mesh may cause lower rate and extension of chronic pain at 3 and 6 month after operation.Conclusions Ultrapro can alleviate chronic pain within 1 year after operation so as to improve the quality of life.

关 键 词：疝 腹股沟 疝修补手术 慢性疼痛 

分 类 号：R656.2[医药卫生—外科学]