经股部入路应用超普网塞UPP修补股疝疗效观察  

EFFECTIVENESS OF TENSION-FREE HERNIORRHAPHY WITH UPP MESH THROUGH A FEMORIS APPROACH FOR FEMORAL HERNIA REPAIR

作　　者：宋应寒[1] 陆安清[1] 马东扬[1] 白佳[2] 雷文章[1] 

机构地区：[1]四川大学华西医院胃肠外科中心,成都610041 [2]四川大学华西医院中西医结合科,成都610041

出　　处：《中国修复重建外科杂志》2013年第12期1484-1486,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨采用超普网塞UPP（UltraproPlug）经股部入路行股疝无张力修补术的疗效。方法回顾分析2009年3月-2013年1月采用超普网塞UPP经股部入路行股疝无张力修补术的123例（126侧）股疝患者临床资料。男17例，女106例；年龄32～95岁，平均63．3岁。左侧48例，右侧72例；双侧3例。病程1个月～26年，中位时间25个月。可复性疝35例（36侧），难复性疝88例（90侧）。根据美国麻醉医师协会（ASA）麻醉分级标准：I级20例，II级42例，III级56例，Ⅳ级5例。记录手术时间、术后住院时间、手术并发症、复发和术后慢性疼痛发生情况。结果患者手术时间7～28min，平均14．5min；术后住院时间2～96h，平均19．4h，其中112例住院时间〈24h。1例术后发生切口裂开，2例发生切口脂肪液化；无其他并发症发生。术后119例（122侧）患者获随访，随访时间4～50个月，中位时间18个月。随访期间股疝均无复发。其中2例（2侧）发生切口慢性疼痛，疼痛视觉模拟评分（VAS）标尺评价分别为20、30mm。结论采用超普网塞UPP经股部入路行股疝无张力修补术具有手术操作简便、手术时间短、并发症少以及复发率、术后慢性疼痛发生率低等优点。Objective To explore the effectiveness of tension-free herniorrhaphy with Ultrapro Plug （UPP） mesh through a femoris approach for femoral hernia repair. Methods Between March 2009 and January 2013, 123 patients （126 sides） underwent tension-free herniorrhaphy with UPP mesh through a femoris approach. There were 17 males and 106 females, aged 32-95 years （mean, 63.3 years）. The locations were the left side in 48 cases, the right side in 72 cases, and both sides in 3 cases. The disease duration was 1 month to 26 years （median, 25 months）. Of 123 cases, 35 cases （36 sides） were reducible and 88 cases （90 sides） were irreducible. According to American Society of Anesthesiologists （ASA） classification, 20 cases were rated as grade I, 42 cases as grade II, 56 cases as grade III, and 5 cases as grade IV. The operation time, postoperative hospitalization time, complication, recurrence, and chronic pain were recorded. Results The operation time was 7-28 minutes （mean, 14.5 minutes）; postoperative hospitalization time was 2-96 hours （mean, 19.4 hours） （112 patients discharged from hospital within 24 hours）. Wound dehiscence occurred in 1 case and fat liquefaction in 2 cases. A total of 119 patients （122 sides） were followed up 4-50 months （median, 18 months）; no recurrence was noted. Two cases （2 sides） suffered from chronic pain after operation, whose visual analogue scale （VAS） was 20 mm and 30 mm, respectively. Conclusion Tension-free herniorrhaphy with UPP mesh through a femoris approach should be recommended because it has the advantages of simple operation, short operation time, less complication, and lower incidence of chronic pain.

关 键 词：股疝 无张力修补术 股部入路 超普网塞UPP 

分 类 号：R656.22[医药卫生—外科学]