腹股沟斜疝治疗中对修补材料的选择研究

Study on choice of patching materials during the treatment of inguinal hernia

目的研究腹股沟斜疝的局解改变以及修补材料的选择。方法对深圳市梅沙医院2008年12月～2012年2月收治的150例腹股沟斜疝患者的临床资料进行回顾性分析,依据患者治疗情况将其分为A、B、C三组,A组50例为单层的平片补片组,B组50例为网塞填充式补片组,C组50例为三合一补片组。对三组手术治疗情况进行观察并记录,内容包括患者术后住院时间、术后镇痛效果、手术时间、术后并发症发生情况以及术后异物感发生情况等。结果三组患者的手术时间、术后镇痛以及术后住院时间比较差异无统计学意义(P>0.05)。全部获得随访,其随访率达100.0%,其随访时间最长为24个月,最短为5个月,平均(9.5±7.5)个月。C组术后异物感发生率显著高于A、B两组(P<0.05),三组患者术后临床并发症与术后复发率比较差异均无统计学意义(P>0.05)。结论腹股沟斜疝患者应依据其局解的改变情况合理选择修补材料,更有利于患者早日康复。

Objective To study the changes of partial anatomy of inguinal hernia as well as the choice of patching materials. Methods The clinical data of 150 cases of patients with inguinal hernia in Meisha Hospital of Shenzhen City from December 2008 to February 2012 were analyzed retrospectively. The patients were divided into A, B, C group based on the patient＇s treatment condition. 50 cases of group A were as a single flat piece patch group, 50 cases of group B were as a mesh plug method patch group, 50 cases of group C were as a three-in-one patch group. The surgical treatment of three groups were observed and recorded, including the occurrence of postoperative hospital stay, postoperative analgesia, operative time, postoperative complications, and postoperative foreign body sensation, etc. Re- suits The operative time, postoperative analgesia and postoperative hospitalization time of the three groups did not have a statistically significant difference （P 〉 0.05）. All patients were followed up, its follow-up rate was 100.0%, and its follow-up period was up to 24 months, and low to 5 months, with an average of （9.5±7.5） months. The incidence of postoperative foreign body sensation in group C was significandy higher than group A and B （P 〈 0.05）. There were no statistically significant differences of clinical complications and postoperative recurrence rate of the three groups （P 〉 0.05）. Conclusion Patients with inguinal hernia should choose the patching materials according to the changes of par- tial anatomy reasonably, which is more conducive to the speedy recovery of patients.