应用善释与超普网塞行腹膜前间隙腹股沟疝修补术的前瞻性对照研究

Tension-free repair in the preperitoneal space by using EasyProsthesis mesh and ULTRAPRO plug:A prospective randomized study

目的观察善释补片(D10)与超普网塞补片(ULTRAPRO plug,UPP)在腹股沟疝腹膜前间隙修补术中的安全性与有效性,比较二种修补材料的应用效果。方法对2008年10月至2011年7月收治的87例(92侧)原发腹股沟疝患者,随机分为二组,善释组41例(44侧),超普组46例(48侧),均行腹膜前间隙无张力修补术,评价二种修补材料的应用效果。结果 81例得到随访,随访率93%。随访时间3～12个月,平均6.3个月。二组平均手术时间、术中出血量、住院时间、术后并发症比较差异均无统计学意义(P>0.05),二组在随访期内均无复发。住院费用善释组要低于超普组。结论运用善释与超普网塞补片行腹膜前间隙修补治疗腹股沟疝安全可靠,超普网塞材质更软,手感相对更好,为部分可吸收,理论上更具有临床应用优势,但价格高昂。

Objective To summarize the experience of tension-free repair for inguinal hernia in the preperitoneal space by using D10 and ULTRAPRO plug（UPP）. Methods From Oct 2008 to Jul 2011 ,a total of 87 cases with 92 reducible primary inguinal hernia were randomized to allocate into two groups. Fortyone patients with 44 hernias in the study group had tension-free repair in the preperitoneal space by using EasyProsthesis mesh, while other 46 patients with 48 hernias took tension-free repair in the preperitoneal space by using UP]？. Results Eighty-one eases （93%） were followed up from 3 to 12 months with an average of 6.3 months after operation. No recurrence was observed. No significant difference in the operation time, blood los, hospital stay and total postoperative complications was found between the two groups. The hospitalization expenses by using UPP are higher than the group with EasyProsthesis mesh. Conclusions Tension-free repair in the preperitoneal space by using EasyProsthesis mesh and UPP was demonstrated to be safe and credible. The cost of UPP is much higher than EasyProsthesis mesh, but UPP is a partially absorbable, soft and comfortable with more strengths.