可吸收补片在老年开放腹股沟疝患者中的应用  

Application of absorbable mesh in open inguinal hernia repair in elderly patients

作　　者：王俊毅[1] 薛振峰[1] Wang Junyi;Xue Zhenfeng(Department of Hernia and Abdominal Wall Surgery,Taiyuan Central Hospital,Taiyuan 030001,China)

机构地区：[1]太原市中心医院疝和腹壁外科,030001

出　　处：《中华疝和腹壁外科杂志(电子版)》2025年第1期88-91,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的分析可吸收补片在老年开放腹股沟疝患者中的应用。方法收集2020年12月至2022年12月于太原市中心医院因腹股沟疝行开放Lichtenstein手术的老年患者105例,根据术中补片类型分为可吸收补片组(可吸收组)和合成补片组(合成组),比较2组临床资料及术后随访情况。结果105例患者均在局部麻醉下顺利完成开放Lichtenstein手术,其中可吸收组患者55例,合成组患者50例。2组患者性别、年龄、体重指数、发病时间、疝位置、疝类型、手术时间及住院时间等各方面比较,差异无统计学意义(P>0.05)。可吸收组术后血清肿23例(41.82%),合成组11例(22.00%),差异有统计学差异(P<0.05),所有患者术后血清肿经保守观察后痊愈吸收;可吸收组出院时VAS评分(2.27±1.13)分,合成组(2.24±1.10)分,差异无统计学意义(P>0.05);可吸收组术后3个月VAS评分(0.82±0.58)分,合成组(1.26±0.72)分,差异有统计学意义(P<0.05)。2组术后随访1~2年均无复发病例、无异物感及感染等其他术后并发症。结论可吸收补片在老年开放腹股沟疝治疗中的效果与合成补片相当。可吸收补片术后血清肿发生率较高,但中长期疼痛程度较轻。Objective To analyze the application of absorbable mesh in open inguinal hernia repair in elderly patients.Methods We collected the data of 105 elderly patients who were admitted to Taiyuan Central Hospital for inguinal hernia and accepted open Lichtenstein repair from December 2020 to December 2022.Patients were divided into absorbable mesh group(absorbable group)and synthetic mesh group(synthetic group)based on the intraoperative type of mesh.The clinical data and postoperative follow-up outcomes of the two groups were compared.Results All 105 patients successfully completed open Lichtenstein surgery under local anesthesia,with 55 cases in the absorbable group,and 50 cases in the synthetic group.There were no statistically significant differences between the two groups in terms of sex,age,body mass index,onset time,hernia location,hernia type,operation time,and hospital stay(P>0.05).There were 23 cases(41.82%)of postoperative seroma in the absorbable group and 11 cases(22.00%)in the synthetic group,and the difference between the two groups was statistically significant(P<0.05).All patients with postoperative seroma were healed and absorbed after conservative observation.The visual analogue scale(VAS)score at discharge was(2.27±1.13)points in the absorbable group and(2.24±1.10)points in the synthetic group at discharge,with no significant difference(P>0.05).The three-month postoperative pain VAS score of the absorbable group was(0.82±0.58)points and that in the synthetic group was(1.26±0.72)points,with a statistically significant difference(P<0.05).There was no recurrence,no other postoperative complications such as foreign body sensation and infection in the two groups during 1-2 years of follow-up.Conclusion The effect of absorbable mesh in open inguinal hernia repair for elderly patients is comparable to that of synthetic mesh.The incidence of postoperative seroma with absorbable mesh is higher,but the pain level in the medium and long term is mild.

关 键 词：疝 腹股沟 老年人 疝修补术 可吸收补片 

分 类 号：R65[医药卫生—外科学]