聚丙烯补片与传统术式修补股疝的比较分析

Comparative analysis of polypropylene mesh repair and traditional herniorrhaphy for femoral hernia

目的总结采用聚丙烯补片修补股疝的意义及疗效。方法回顾性分析2005年9月至2011年7月重庆市南岸区中西医结合医院收治的股疝88例患者的临床资料,按时间顺序平均分为二组,对照组采用传统方法修补,试验组采用聚丙烯补片修补,分析两种手术方法的治疗效果、复发率等情况。结果二组患者手术均获得成功。术后并发症对照组(牵拉疼痛32例,肺部感染6例,排尿困难4例,下肢水肿2例)多于试验组(牵拉疼痛0例,肺部感染2例,排尿困难2例,下肢水肿0例);术后3年随访对照组复发5例,试验组无复发者,差异有统计学意义。结论传统的股疝修补方法存在固定缺陷。采用聚丙烯补片修补股疝的方式,临床效果好,能减少术后并发症及降低术后疝复发率。

Objective To summarize the significance and effect of polypropylene mesh in femoral hernia repair. Methods A total of 88 patients with femoral hernia who were treated in Chongqing Nan＇ an Integrated Chinese and Western Medicine Hospital from September 2005 to July 2011 were retrospectively analyzed. The patients were divided into two groups. The patients were treated with traditional procedure in the control group,and the polypropylene mesh was applied in the test group. The clinical effect and recurrence rate were analyzed in the two groups. Results The operations in both groups were successful.The percentages of postoperative complications were higher in the control group compared to the test group.Postoperative complications in control group（ 32 stretching pain,6 pulmonary infection,4 dysuria,2 edema of legs） were more than those in test group（ 0 stretching pain,2 pulmonary infection,2 dysuria,0 edema of legs）. The recurrence after 3 years follow-up was higher in the control group than in the test group. The differences were statistically significant between the two groups. Conclusion The traditional repair has inherent limitation. While herniorrhaphy with polypropylene mesh for femoral hernia owns significance in clinical practice to reduce postoperative complications and decrease recurrence rate.