赫美Oval Patch补片在腹股沟腹膜前无张力疝修补术中的应用:附视频  

Application of Herniamesh Oval Patch in preperitoneal inguinal tension-free hernia repair:video attached

作　　者：刘增亮[1] 白金宝 邓新生[1] 梁海生[1] 郄红征 王龙飞[1] 胡莹[1] 王新[1] 

机构地区：[1]河北省涿州市医院普外科,072750

出　　处：《中华普通外科学文献（电子版）》2014年第4期15-19,共5页Chinese Archives of General Surgery(Electronic Edition)

基　　金：河北省保定市科学技术研究与发展指导计划项目(13ZF100)

摘　　要：目的 比较赫美Oval Patch补片与成型网塞补片无张力疝修补术的临床效果。方法 对2012年1月至2014年1月160例单侧腹股沟疝患者随机分为赫美Oval Patch补片组（试验组）与成型网塞补片组（对照组）,回顾性对比分析两组患者的临床资料,比较两组手术时间、术后住院时间,术后24 h的疼痛及术后3个月慢性疼痛VAS评分,术后异物感等并发症发生情况。结果 两组患者手术顺利。手术时间试验组（34.35±7.95）min,对照组（39.86±7.34）min;两组手术时间差异有统计学意义（P〈0.05）;术后住院时间试验组（2.44±0.87）d,对照组（2.55±0.73）d,两组术后住院时间、住院费用差异无统计学意义;术后24 h疼痛及术后3个月慢性疼痛VAS评分差异有统计学意义（P〈0.05）;术后异物感差异有统计学意义（P〈0.05）;随访4-29个月,两组术后均无复发和伤口感染病例。结论 利用赫美Oval Patch补片进行腹膜前无张力疝修补术,临床效果与疝环充填式修补术相近,但具有手术时间短、术后疼痛轻及异物感低等优点。Objective To compare the clinical effects of Herniamesh Oval Patch with tensionfree plug-mesh in the treatment of inguinal hernia repair. Methods One hundred and sixty cases of unilateral inguinal hernia from our department from January 2012 to January 2014 were randomly divided into Herniamesh Oval Patch group （trial group） and plug-mesh Patch group （control group）, and a retrospective analysis of their clinical data was carried out, including the comparisons of operation time and hospitalization stay, postoperative pain in 24 hours and postoperative chronic pain VAS score after 3 months, and other complications. Results Operations of both groups went smoothly. The operation time was （34.35 ＋7.95） minutes in trial group and （39.86 ＋ 7.34） minutes in the control group; which had a significant difference （P〈0.05） . The hospitalization stay of trial group was （2.44 ＋0.87） days and （2.55 ＋0.73） days for control group; postoperative hospitalization stay and expenses had no significant differences. There was statistically significant difference in VAS score and postoperative complications （P〈0〈0.05）. A 4- to 29-month follow-up showed no recurrence and wound infections. Conclusion The clinical effect of Herniamesh Oval Patch in inguinal tension-free hernia is similar to tension-free plug-mesh hernia repair, with the advantages of shorter operation time, less pain and lower foreign body sensation.

关 键 词：疝 腹股沟 赫美Oval Patch补片 疝修补术 无张力 

分 类 号：R656.2[医药卫生—外科学]