化学性医用胶固定生物补片在腹腔镜经腹腹膜前疝修补术中的应用  

Medical chemistry adhesive for biological patch fixation in laparoscopic inguinal hernia repair

作　　者：聂玉胜[1] 申英末[1] 

机构地区：[1]首都医科大学附属北京朝阳医院疝和腹壁外科,100043

出　　处：《中华疝和腹壁外科杂志（电子版）》2017年第3期168-170,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：吴阶平医学基金会临床科研基金项目(320.6750.13172)

摘　　要：目的探讨在腹股沟疝腹腔镜经腹腹膜前疝修补术(TAPP)中应用化学性医用胶固定生物补片的临床效果。方法回顾性分析2014年1月至2015年7月,首都医科大学附属北京朝阳医院疝和腹壁外科在生物补片腹腔镜TAPP疝修补术中应用化学性医用胶固定的29例腹股沟疝患者的相关临床资料,观察患者术后并发症及复发情况。结果 29例患者均顺利完成手术,无中转开腹情况,术后出现低热2例,血清肿5例,未出现切口感染、肠梗阻及其它严重并发症。29例患者均获随访,术后随访时间18~36个月,平均随访时间(27±5)个月,无术后慢性疼痛及异物感,无复发病例。结论腹腔镜TAPP疝修补术中应用化学性医用胶固定生物补片是一种安全可行的手术方式,它具有创伤小、并发症少、术后舒适性好等优势,且不增加术后复发风险。Objective To explore the value and the clinical effect of medical chemistry adhesivefor biological patch fixation inlaparoscopic transabdominal preperitoneal （TAPP） hernia repair. Methods Clinical data of 29 cases of inguinal hernia who underwent laparoscopic inguinal hernia repairwith medical chemistry adhesive for biological patch fixation from January 2014 to July 2015 in Beijing Chao-Yang Hospital were retrospectively analyzed. Postoperative complications and recurrences rate were recorded. Results Operations were completed successfully in all 29 cases and none was converted to open surgery. There were 2 patients suffered fever and 5 patients suffered scrotal seroma. There were no serious complications such as wound infection and intestinal obstruction after operation. All cases were followed-up for 18 to 36 months （ mean of 27 ± 5 months） without obvious chronic pain, foreign body sensation and recurrence. Conclusions Medical chemistry adhesive for biological patch fixation in laparoscopic inguinal hernia repair is safe and feasible, and has the advantages of minimal invasion, few complications and good postoperative comfortable feeling, without increasing the risk of recurrence.

关 键 词：疝 腹股沟 腹腔镜 医用胶 

分 类 号：R656.2[医药卫生—外科学]