立体三维补片联合富血小板凝胶在腹腔镜经腹腹膜前疝修补术中的应用分析  

Application of three-dimensional mesh combined with platelet rich gel in laparoscopic inguinal hernia repair

作　　者：徐文强 Xu Wenqiang(General Surgery Department of Qingyang Hospital,Jiangsu Jiangyin 214401,China)

机构地区：[1]江阴市青阳医院普外科,江苏江阴214401

出　　处：《临床普外科电子杂志》2025年第1期69-73,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探究立体三维补片联合富血小板凝胶在腹腔镜经腹腹膜前疝修补术中的应用效果。方法选取2021年1月至2023年12月江阴市青阳医院收治的腹股沟疝患者90例,根据随机数字表法分成对照组和研究组,每组45例。对照组使用普通补片联合医用胶,研究组使用立体三维补片联合富血小板凝胶。对比两组临床指标、疼痛情况、炎症因子水平、并发症发生情况、复发情况及临床疗效。结果研究组患者的手术时间、首次下床活动时间及住院时间、切口疼痛时间均短于对照组,且术中出血量少于对照组,术后疼痛评分低于对照组,差异均有显著性(P<0.05)。治疗前,两组患者的白介素-6、肿瘤坏死因子-α及C反应蛋白水平无显著差异(P>0.05)。治疗后,研究组患者的白介素-6、肿瘤坏死因子-α及C反应蛋白水平均高于对照组,差异均有显著性(P<0.05)。研究组总有效率高于对照组,术后复发率、并发症总发生率均低于对照组,差异均有显著性(P<0.05)。结论立体三维补片联合富血小板凝胶在TAPP中的应用,能降低术后复发率,减少并发症,提升患者生活质量。Objective To investigate the eff ect of three-dimensional mesh combined with platelet rich gel in laparoscopic transabdominal preperitoneal hernia repair.Method Ninety patients with inguinal hernia admitted to Qingyang Hospital in Jiangyin City from January 2021 to December 2023 were selected and randomly divided into a control group and a study group using a random number table,with 45 patients in each group.The control group used ordinary patch combined with medical glue,and the research group used three-dimensional patch combined with platelet rich gel.Compare two groups of clinical indicators,pain levels,infl ammatory cytokine levels,inci-dence of complications,recurrence,and clinical effi cacy.Result The surgical time,fi rst mobilization time,hospi-talization time,and incision pain time of the study group were shorter than those of the control group,and the intra-operative blood loss was less than that of the control group.The postoperative pain score was lower than that of the control group,and the diff erences were signifi cant(P<0.05).Before treatment,there was no signifi cant diff erence in the levels of interleukin-6,tumor necrosis factor alpha,and C-reactive protein between the two groups of patients(P>0.05).After treatment,the levels of interleukin-6,tumor necrosis factor alpha,and C-reactive protein in the study group were signifi cantly higher than those in the control group(P<0.05).The total eff ective rate of the re-search group was higher than that of the control group,and the postoperative recurrence rate and total incidence of complications were lower than those of the control group,with signifi cant diff erences(P<0.05).Conclusion The application of three-dimensional patch combined with platelet rich gel in TAPP can reduce the recurrence rate,re-duce complications and improve the quality of life of patients.

关 键 词：腹腔镜经腹腹膜前疝修补术 立体三维补片 富血小板凝胶 疼痛 炎症因子 

分 类 号：R65[医药卫生—外科学]