开放式腹膜前间隙补片修补术治疗腹股沟嵌顿或绞窄性疝的安全性和有效性  

Safety and effectiveness of open preperitoneal prosthetic mesh repair for acutely incarcerated or strangulated inguinal hernia

作　　者：施振峰 郑红丽 陶吴东 Shi Zhenfeng;Zheng Hongli;Tao Wudong(Department of General Surgery,Zhangjiagang Fifth People's Hospital,Zhangjiagang 215600,Jiangsu Province,China)

机构地区：[1]张家港市第五人民医院普外科,江苏苏州215600

出　　处：《中华疝和腹壁外科杂志（电子版）》2022年第1期100-103,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的评估开放式腹膜前间隙补片修补术治疗腹股沟嵌顿或绞窄性疝的安全性和有效性。方法回顾性分析2014年4月至2019年12月于张家港市第五人民医院普外科因腹股沟嵌顿或绞窄性疝手术治疗的患者102例,根据是否应用补片修补分为观察组(52例)和对照组(50例)。比较2组患者手术时间、住院时间、视觉模拟评分法(VAS)、术后并发症发生率及复发情况。结果2组患者平均手术时间及住院时间比较,差异均无统计学意义(P>0.05)。2组患者术后1、6、12 h及出院时VAS评分相比较,差异均无统计学意义(P>0.05)。2组间术后并发症发生率比较,差异无统计学意义(P>0.05)。术后随访1年,观察组无复发,而对照组复发7例,差异有统计学意义(P<0.05)。结论开放式腹膜前间隙补片修补术治疗腹股沟嵌顿或绞窄性疝不仅安全有效,且术后复发率低,值得在临床推广应用。Objective To evaluate the safety and effectiveness of open preperitoneal prosthetic mesh repair for acutely incarcerated or strangulated inguinal hernia.Methods 102 patients who were treated for acutely incarcerated or strangulated inguinal hernia in Department of General Surgery,Zhangjiagang Fifth People's Hospital,Suzhou,Jiangsu province from April 2014 to December 2019 were retrospectively analyzed.According to whether mesh repair was applied,they were divided into observation group(n=52)and control group(n=50).The operation time,hospital stay,Visual Analogue Scale(VAS)score,postoperative complications and recurrence were compared between the two groups.Results There was no significant difference in the average operation time and hospital stay between the two groups(P>0.05).There was no significant difference in VAS scores between the two groups at 1,6,and 12 hours after operation and at discharge(P>0.05).The incidence of postoperative complications between the two groups was not statistically significant(P>0.05).During the 1-year follow-up,there was no recurrence in the observation group,while 7 cases in the control group had recurrence.The recurrence rate was statistically significant(P<0.05).Conclusion Open preperitoneal prosthetic mesh repair is not only safe and effective in the treatment of incarcerated or strangulated hernia,but also has a low postoperative recurrence rate,which is worthy of clinical application.

关 键 词：疝修补术 疝 腹股沟 疗效 

分 类 号：R656.2[医药卫生—外科学]