疝补片材料学的现状和展望  

Current status and prospect of hernia mesh material science

作　　者：王伟刚 俞永江[1] WANG Weigang;YU Yongjiang(Department of Gastrointestinal and Abdominal Hernia,The First Hospital of Lanzhou University,Lanzhou 730000,P.R.China)

机构地区：[1]兰州大学第一医院胃肠与腹壁疝外科,兰州730000

出　　处：《中国普外基础与临床杂志》2022年第4期556-560,共5页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的比较目前运用于临床的不同材料疝补片的性能,以期为补片的临床选择提供参考。方法对国内外不同材料疝补片在腹疝及腹股沟疝治疗中应用的文献进行复习并进行综述。结果合成补片中,特别是大网孔中等量型的聚丙烯补片可能是最理想的合成补片;新型涂层材料在很大程度上改善了聚丙烯材料的不足。生物补片在复杂疝修补术中的地位有所动摇,有被可吸收合成补片取代的趋势。结论目前还没有一种补片能适用于所有类型的疝修补术中,聚丙烯补片仍然是一种有效且成本较低的补片材料,可吸收合成材料和抗菌涂层可能还有较大的发展空间。Objective To compare the properties of hernia repair mesh of different materials used in clinical practice,so as to provide reference for clinical selection of numerous meshes at present.Method The literatures of different materials of hernia mesh in the treatment of abdominal hernia and inguinal hernia at home and abroad were reviewed.Results The synthetic mesh,especially the polypropylene mesh with wide-pore mesh in the midweight mesh,might be the most ideal synthetic mesh.The new coating material improved the defect of polypropylene material to a great extent.The status of biological mesh in complex hernia repair had been waxed,and it had a tendency to be replaced by absorbable synthetic mesh.Conclusions Currently,there is no single mesh suitable for all types of hernia repair.Polypropylene mesh is still an effective and low cost mesh material,and there may be more room for the development of absorbable synthetic materials and antimicrobial coatings.

关 键 词：疝修补术 疝修补材料 进展 

分 类 号：R656.2[医药卫生—外科学] R318.08[医药卫生—临床医学]