用于腹腔内疝修补术的复合补片:作用原理与产品综述  

Composite mesh for intra-abdominal hernia repair: Mechanism and products view

作　　者：刘文博[1] 

机构地区：[1]国家食品药品监督管理总局医疗器械技术审评中心,北京市100044

出　　处：《中华疝和腹壁外科杂志（电子版）》2016年第6期447-450,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：对腹壁疝进行腹腔内修补术时,需要补片贴近内脏的一侧具有降低粘连的功能,而贴近腹壁侧具有优异的组织长入性能。聚丙烯等经典疝修补材料具有优异的组织长入性能,在此类材料一侧复合隔离层用于降低与脏器的粘连,即为复合补片。早期的隔离层材料多为不可吸收材料,如膨体聚四氟乙烯。随着材料科学和临床技术的进步,可吸收材料的隔离层被广泛应用。本文回顾了粘连的发生机制、腹膜的修复机制和粘连的预防原理,介绍了目前已在我国批准上市的各种腹腔内置复合补片产品,供广大临床医生及研究者参考。When a ventral hernia is repaired by an intraperitoneal dual-sided mesh, the visceral side of the mesh requires the property of anti-adhesion, while the parietal side is associated with a high integrity of tissue ingrowth. Classical synthetic material, such as polypropylene, is characterized by vigorous tissue ingrowth. A composite mesh is usually composed of the former material coated with a barrier layer to prevent adhesions to visceral organs. The initial anti-adhesive barrier is non-absorbable material, such as expanded polytetrafluoroethylene. With the development of materials science and clinical technique, the absorbable barriers have been widely used. This article reviewed the mechanism of adhesion formation and peritoneum healing, and the prevention principle of adhesions, and also introduced all kinds of intraperitoneal composite mesh available in China, so as to provide the reference for clinicians and researchers.

关 键 词：疝 疝修补术 复合补片 粘连 

分 类 号：R656.2[医药卫生—外科学]