腹腔镜完全腹膜外置入3D补片与平片补片在治疗腹股沟疝的前瞻性随机对照研究(附60例报告)

A randomized controlled trial of polypropylene 3D patch and plain film in repair of abdominal hernia with totally extraperitoneal prosthetic (60 cases report)

目的探讨分析聚丙烯3D补片与普通平片补片在行无钉合腹腔镜完全腹膜外疝修补术中的应用。方法将2010年1月～2012年1月间60例腹股沟疝患者随机分为3D补片组(研究组)30例、普通平片补片组(对照组)30例,均行腹腔镜完全腹膜外腹股沟疝无钉合修补术。结果两组患者均顺利完成手术,术后均无近期复发,研究组比对照组手术时间短、出血量少、血清肿发生率低,但其差异均无统计学意义(P>0.05);而术后下床活动时间差异均有统计学意义(P<0.05)。结论腹腔镜下完全腹膜外补片植入不钉合固定术治疗腹股沟疝切实可行,且在术后疼痛出现率等方面优于对照组,并不增加近期复发率。

Objective To discuss and analysis the adhibition of polypropylene 3D patch and plain film in repair of abdominal hernia with no stapling totally extraperitoneal prosthetic. Methods From January 2010 to January 2010, 60 cases of were compared with polypropylene 3D patch （30 cases） and ordinary plain film repair （30 cases）. Results All patients had no recueeence during follow-ups. There were no significant difference between two groups with operative time, amount of bleeding and the incidence of seroma. The postoperative activity time was shorter than control group. Conclusion Laparoscopic totally extraperitoneal patch embedded not nail fixation treatment of inguinal hernia is feasible. The postoperative activity time was shorter than that in control group,and the recurrence was not increased in the near future.