生物补片与疝环充填式无张力疝修补在腹股沟疝的应用对照研究

Comparative study of biological mesh repair and mesh plug tension-free hernia repair

目的探讨生物补片与疝环充填式无张力疝修补两种手术方法治疗腹股沟疝在临床中的应用。方法选取2013年1~6月定州市人民医院72例腹股沟斜疝患者作为研究对象,随机分为二组,观察组以生物补片修补,对照组以疝环充填式修补。观察二组术式的手术时间、住院时间、术后慢性疼痛、阴囊积液、异物感以及术后复发等临床资料。结果二组患者在手术时间和住院时间比较差异无统计学意义。随访6~12个月无复发,对照组中出现1例阴囊积液,2例慢性疼痛及2例异物感患者,观察组患者未出现手术并发症。结论应用生物补片无张力疝修补术,能减少术后慢性疼痛、阴囊积液、异物感等并发症的发生。

Objective To analyze the clinical effect of biological mesh and mesh-plug repair in the treatment of inguinal hernia repair. Methods From January 2013 to June 2013,a total of 72 cases of indirect inguinal hernia from Dingzhou City People＇s Hospital were collected into this study. All patients were randomly divided into 2 groups： observation group repaired with biological mesh and control group with meshplug. The clinical data of two groups were observed,including operating time,length of hospitalization stay,postoperative chronic pain,scrotal seroma,foreign body sensation and recurrence. Results There was no significant difference between the 2 groups in operating time and hospital stay. No recurrence was found after a follow-up period of 6-12 months. 1 case of scrotal seroma,2 chronic pain and 2 foreign body sensation occurred in control group,while none in observation group. Conclusion Tension-free hernia repair with biological mesh can reduce the incidence of postoperative complications such as chronic pain,scrotal seroma,foreign body sensation and so on.