摘要
目的分析部分可吸收补片和普通聚丙烯补片在经腹腹膜前腹股沟疝修补术（TAPP）中应用的安全性、有效性以及术后合并症和补片的皱缩率情况。方法回顾性分析2013年6-12月,昭通市第一人民医院对60例初发腹股疝患者进行TAPP手术治疗,随机分为二组,每组各30例。观察组患者使用部分可吸收补片,对照组患者使用普通聚丙烯补片。结果 60例患者手术无中转,观察组和对照组平均手术时间、术后住院时间、住院费用以及血清肿发生率差异均无统计学意义（t=9.75、2.64、27.92,χ^2=1.26,P=0.496、0.425、0.235、0.680）。观察组术后慢性疼痛1例（3.3%）,对照组3例（10%）,二组比较差异有统计学意义（χ^2=1.26,P=0.000）。观察组异物感2例（6.7%）,对照组5例（16.7%）,二组比较差异有统计学意义（χ^2=1.14,P=0.000）。B型超声实测术后1、3、6、9个月补片横径皱缩变化,二组补片挛缩直径与皱缩率差异均有统计学意义。结论腹腔镜疝修补术使用部分可吸收补片和普通聚丙烯补片均是安全有效的,部分可吸收补片术后皱缩率低于普通聚丙烯补片,部分可吸收补片术后慢性疼痛和异物感的发病率低于普通聚丙烯补片。
Objective To explore the safety and effectiveness of partially absorbable mesh and traditional polypropylene mesh in transabdominal preperitoneal inguinal hernia repair（ TAPP）,and to investigate the postoperative complications and mesh shrinkage rate. Methods A total of 60 cases of primary inguinal hernia underwent TAPP in The First People ＇s Hospital of Zhaotong from June 2013 to December 2013,were enrolled and analyzed respectively. The patients were randomly divided into two equal groups： observation group received partially absorbable mesh,and control group used polypropylene mesh.Results None conversion to open procedure. There were no significant differences between two groups regarding average operating time,length of hospitalization stay,cost and incidence of seroma（ t = 9. 75、2. 64、27. 92,χ^2= 1. 26,P = 0. 496、0. 425、0. 235、0. 680）. The observation group（ 3. 3%） showed less chronic pain than the control group（ 10%）,and the difference was significant（ χ^2= 1. 26,P = 0. 000）.Similarity,less foreign body reaction was found in observation group than in control group（ 6. 7% vs16. 7%,χ^2= 1. 14,P = 0. 000）. In terms of transverse diameter shrinkage at 1,3,6,9 month,through typeB ultrasonic examination,the differences of shrinkage diameter and shrinkage rate between two groups also reach statistical significance. Conclusion Both partially absorbable mesh and ordinary polypropylene mesh are safe and effect in laparoscopic hernia repair. While the former shows a reduced postoperative shrinkage and less incidence of chronic pain and foreign body reaction.
出处
《中华疝和腹壁外科杂志（电子版）》
2015年第1期40-42,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
腹腔镜
对比研究
Hernia
inguinal
Laparoscopes
Comparative study
