ProGrip自固定补片与聚丙烯补片修补切口疝的疗效比较  

Efficacy comparison between ProGrip self-gripping mesh and polypropylene mesh for retromuscular repair of incisional hernias

作　　者：孙鹏君[1] 费阳[1] 王世斌[1] 张妍[1] 李基业[1] 

机构地区：[1]中国人民解放军总医院第一附属医院普外科,北京100048

出　　处：《中国修复重建外科杂志》2017年第3期331-334,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的比较ProGrip自固定补片和聚丙烯补片肌后修补切口疝的疗效。方法回顾分析2012年5月—2016年5月收治的83例切口疝患者临床资料,其中46例采用ProGrip自固定补片肌后修补(Sublay技术)切口疝(自固定组),37例应用聚丙烯补片肌后修补切口疝(对照组)。两组患者性别、年龄、体质量指数、切口疝类型、疝环直径、病程、合并疾病等一般资料比较,差异均无统计学意义(P>0.05),具有可比性。记录并比较两组手术时间、住院时间以及术后疼痛视觉模拟评分(VAS)。结果自固定组手术时间、住院时间均较对照组显著缩短,比较差异有统计学意义(t=2.977,P=0.004;t=2.270,P=0.026)。两组切口均Ⅰ期愈合,均未发生血清肿及补片感染。术后24 h、7 d、30 d时自固定组VAS评分均显著低于对照组,比较差异有统计学意义(P<0.05)。自固定组43例患者获随访,随访时间5~53个月,平均25.8个月;对照组33例患者获随访,随访时间7~54个月,平均27.4个月。随访期间两组均未发现慢性疼痛及疝复发。结论 ProGrip自固定补片肌后修补切口疝安全可行,与聚丙烯补片相比,可以缩短手术及住院时间、减少术后疼痛。Objective To compare the efficacy ofretromuscttlar repair ofincisional hernia by using ProGrip self- gripping mesh and conventional polypropylene mesh. Methods A retrospective analysis was made on clinical data of 83 cases of incisional hernia between May 2012 and May 2016. Of 83 cases, ProGrip self-gripping mesh was used in 46 cases （self-gripping mesh group） and conventional polypropylene mesh （conventional mesh group） in 37 cases. There was no significant difference in gender, age, body mass index, types of incision hernia, hernia ring diameter, course of disease, and associated disease between 2 groups （P〉0.05）. The operative time, hospital stays, and visual analogue scale （VAS） were recorded and compared between 2 groups. Results The self-gripping mesh group was significantly lower than conventional mesh group in operative time and hospital stays （t=2.977, P=0.004; t=2.270, P=0.026）. Primary healing of incision was obtained in 2 groups, with no seroma and mesh infection. The VAS score of self-gripping mesh group was significantly lower than that of conventional mesh group at 24 hours, 7 days, and 30 days after operation （P〈0.05）. The follow-up time was 5-53 months （mean, 25.8 months） in 43 patients of self-gripping mesh group, and was 7-54 months （mean, 27.4 months） in 33 patients of conventional mesh group. No chronic pain or hernia recurrence was found in both groups during follow-up time. Conclusion It is a safe and feasible curative way to use ProGrip self-gripping mesh for retromuscular repair of incisional hernia as it can reduce operative time, hospital stays, and postoperative pain.

关 键 词：切口疝 肌后修补术 ProGrip自固定补片 聚丙烯补片 

分 类 号：R656.2[医药卫生—外科学]