疝修补材料的研究进展及展望

Study on hernia repair materials: progress and prospect

疝是普外科医师临床诊治的常见疾病之一,手术为主要治疗方式。开腹和腹腔镜无张力修补术需使用疝修补材料。疝修补材料根据材质不同分为不可吸收、可吸收人工合成补片以及生物补片和复合补片。此外,还有编织方式、孔径大小和密度的分类。本文综述不同材质分类补片的特点。展望疝修补材料未来,材料需具有最大化的生物惰性、最小化的总体面积、最优化的表面性质、最适宜的补片重量以及生物力学强度。在认识疝病理生理及补片材质特性的基础上作进一步的研究。

Hernia is one of common diseases diagnosed and treated in clinic by general surgeons with surgery as major procedure of treatment.Hernia repair materials are used in conventional and laparoscopic tension-free repair.Classification of repair materials based on material quality includes non-absorbable or absorbable man made synthetic mesh,biologic mesh and compound mesh.The mesh would also be classified according to woven way,pore size and density.The hernia repair material in future will be prospected which may have the maximized biologic inertia,minimized overall area,the most excellent surface nature,the most optimized weight of mesh,and biomechanical strength.Further study will be needed on the base of recognition of pathophysiology and material property of mesh.