不同补片在腹壁切口子宫内膜异位症术中的应用分析

Application analysis of difference patches in abdominal incision endometriosis surgery

目的比较合成补片与生物补片在剖宫产术后腹壁切口子宫内膜异位症治疗中的疗效。方法 22例需补片修补的腹壁切口子宫内膜异位症患者,随机分为合成补片组(12例)及生物补片组(10例)。观察其治疗效果、术后并发症及患者耐受等情况。结果合成补片组手术时间、术后住院时间及术后伤口愈合情况与生物补片组比较,差异无统计学意义(P>0.05),合成补片组术后腹壁伤口疼痛及腹壁伤口僵硬感优于生物补片组(P<0.05);两组均无切口疝发生。结论合成补片具有不可吸收性及长期稳定的支撑作用,不会传播潜在感染性疾病,但可能发生排斥、挛缩、慢性炎症和疼痛等不良反应,对患者术后生活质量可能有一定影响。生物补片与受体组织相容性高,大大降低了排斥及疼痛几率,延展性好,患者术后耐受性强,生活质量明显改善。

Objective To compare curative effects between compound patch and biological patch in abdominal incision endometriosis after cesarean section. Methods A total of 22 abdominal incision endometriosis patients needing patch repair were randomly divided into compound patch group（12 cases） and biological patch group（10 cases）. Curative effects, postoperative complications, and tolerance in patients were observed. Results There was no statistically significant difference of operation time, postoperative hospital stay time and incision healing between the compound patch group and the biological patch group（P〉0.05）. The compound patch group had better postoperative abdominal incision pain and stiff feeling than the biological patch group（P〈0.05）. Both groups had no occurrence of incisional hernia. Conclusion Compound patch provides nonabsorable and long-term stable supporting effect, and it spreads no potential infectious diseases, while it is possible to show adverse reactions of rejection, contracture, chronic inflammation, and pain, which may have certain influence on postoperative quality of life. Biological patch shows high histocompatibility with receptor, and it can remarkably reduce incidence of rejection and pain, along with good malleability, strong tolerance and obviously improved quality of life.