聚丙烯3D补片与平片补片在经腹腔腹膜前疝修补术中的对比研究

Comparison of polypropylene 3D patch and plain film in repair of abdominal preperitoneal hernia

目的采用经腹腔腹膜前疝修补术,比较聚丙烯3D成型补片和普通平片补片对术后疼痛程度、疝复发、并发症、手术时间、住院天数、平均住院费用的差异。方法 2007年6月至2009年6月,对30例腹股沟疝连续住院患者进行比较研究,分别采用聚丙烯3D成型补片和普通平片修补。3D组补片无固定,平片组补片采用金属钉钉合固定。结果二组手术时间、住院天数差异无统计学意义(P=0.753,P=0.533)。3D组神经痛采用视觉模拟评分法,平均分值低于平片组(P=0.000),平均住院费用也低于平片组(P=0.000)。所有患者随访期间无复发。结论在术后神经痛和费用方面,TAPP中使用聚丙烯3D成型补片较普通平片有明显优点。

Objective The abdominal preperitoneal laparoscopic hernia repair was applied. Polypro- pylene 3D molding supplement tablets and plain film were compared on postoperative pain, hernia reeurrenee, complications, operative time, hospital stay, and average hospital cost differences. Methods From June 2007 to June 2009,30 cases of consecutive hospitalized patients with inguinal hernia were compared with polypropylene 3D Max patch and ordinary fiat mesh repair. The 3D group had no fixed patch and plain film patch was fixed with metal nails. Results There were no significant difference between two groups with operative time and hospital stay（ P = 0. 753, P = 0.533 ）. Neuropathic pain in the 3D group used the visual analog scale and the score was significantly lower than those in the plain film group （ P = 0.000 ）. The ave age cost of hospitalization was also lower than those in the plain film group （P = 0.000）. All patients had no recurrence during follow-ups. Conclusions Application of polypropylene 3 D molding pateh had more significant advantages on postoperative neuralgia and cost of TAPP than the ordinary plain film.