脱细胞基质补片在腹股沟疝修补术中的应用

Acellular tissue matrix mesh for inguinal herniopasty

目的 研究脱细胞基质生物补片（ACTM）在中青年男性腹股沟疝修补术中的应用价值.方法 采用脱细胞基质生物补片（ACTM）对12例中青年男性单侧腹股沟疝患者实施腹股沟疝无张力修补术,观察其临床疗效、副反应以及对患者生殖情况的影响.结果 12例患者平均手术时间（62±18） min,服用止痛药时间0～4d,平均（1.4±0.8）d.出院时间为术后2～5d,平均（3.9±0.4）d.12例患者恢复日常工作及活动时间为术后5～21 d,平均（11.8±2.5）d.12例患者术后随访6～16个月,平均（9.5±1.3）个月.其中2例（2/12,18.3％）在术后1个月有疼痛不适感,未经特殊处理,术后3个月疼痛均好转.所有患者无异物感及局部积液等表现,均无性功能障碍.结论 脱细胞基质生物补片用于腹股沟疝修补术安全有效,无严重的短期并发症,适用于有生育要求的中青年男性患者.

Objective To evaluate acellular tissue matrix mesh in inguinal hernioplasty in young male patients.Methods Clinical outcome and sexual function were evaluated on 12 young male inguinal hernia patients undergoing inguinal hernioplasty by ACTM mesh.Results The mean operation time was 62 minutes.Postoperative analgesics were needed for an average of 1.45 days （range,0 -4 days）.The average postoperative hospital stay was 3.9 days,and patients were able to return to normal activity,after a mean 11.8 days.All patients were followed-up for a mean duration of 9.54 months（range,6 - 16 months）.Two patients complained pain one month after surgery and the pain disappeared later without any medical treatment.There was no hernia recurrence and foreign body feelings,nor sexual and reproductive problems.Conclusions The ACTM mesh is a safe and effective material for inguinal hernioplasty,especially in young male patients.