3D-MAX补片在经腹腹膜前腹腔镜腹股沟疝修补术中的应用  

Application of 3D-Max patch in inguinal repair by performing transabdominal preperitoneal with a laparoscope

作　　者：李海峰[1] 王荣寅[1] 

机构地区：[1]蚌埠市第三人民医院微创外科,安徽蚌埠233000

出　　处：《西南国防医药》2016年第7期737-739,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨3D-MAX补片行经腹腹膜前腹腔镜腹股沟疝修补术的临床价值。方法选择在本院以3D-MAX补片行经腹腹膜前腹腔镜腹股沟疝修补术的24例患者为观察组,24例接受普通网塞补片的腹股沟疝无张力修补术的患者为对照组,比较两组手术时间、术后住院时间、术后疼痛情况及并发症发生情况。结果两组所有患者手术均成功,两组手术时间、术后住院时间比较均无统计学差异(P>0.05)。术后12、24及48 h,观察组VAS评分显著低于对照组(P<0.05);术后72 h,两组VAS评分比较,无统计学差异(P>0.05)。两组并发症发生率无统计学差异(P>0.05)。结论 3D-MAX补片行经腹腹膜前腹腔镜腹股沟疝修补术疗效可靠,安全性高,且能够减轻患者术后疼痛,缩短住院时间。Objective To explore the clinical value of 3D-MAX patch in inguinal repair by performing transabdominal preperitoneal with a laparoscope. Methods A total of 24 patients who were admitted in the hospital to receive inguinal repair by performing transabdominal preperitoneal with a laparoscope were selected to constitute the observation group and 24 patients to receive tension- free inguinal hernia repair were selected to constitute the control group. The time of operation, post-operation hospitalization duration, post-operation pain and occurrence of complications of both groups were compared. Results All operations of patients of these groups succeeded, and no statistical differences were found when the time of operation and post-operation hospitalization duration between the two groups were compared （P 〉 0.05）. At 12 h, 24 h and 48 h after the operation, VAS scores of the observation groups were significantly lower than that in the control group （P 〈 0.05）. At 72 h after operation, no statistical difference in VAS scores of these groups was found （P 〉 0.05）. There was no statistical difference in the incidence of complications between the two groups （P 〉 0.05）. Conclusion The use of 3D-MAX patch in inguinal repair by performing transabdominal preperitoneal with a laparoscope has reliable and safe curative effects in addition to reducing post-operation pain of patients and shortening the hospitalization duration.

关 键 词：腹股沟疝 腹腔镜 3D-MAX 补片 疼痛 

分 类 号：R656.21[医药卫生—外科学]