自固定补片在腹股沟疝无张力修补术中的临床应用

Application of automatic fixed mesh in tension-free repair of inguinal hernia

目的探讨自固定补片应用于腹股沟疝修补术的临床效果。方法将2013年12月至2015年1月我院收治的男性腹股沟疝患者160例按照随机数字表法分为观察组和对照组各80例,观察组患者使用自固定补片疝修补,对照组采用普通聚丙烯补片疝修补,观察两组患者术后疼痛评分、手术时间、住院时间、术后并发症及复发情况。结果两组患者术后1天疼痛评分比较差异无统计学差异(P>0.05);术后7天、1月、3月、6月疼痛评分比较差异有统计学差异(P<0.05);观察组平均手术时间、住院时间短于对照组,差异有统计学意义(P<0.05);观察组未出现异物感,阴囊积液1例,对照组异物感9例,阴囊积液7例,给予理疗、穿刺抽液后均治愈;两组患者均未发生血肿、切口感染、复发。结论应用自固定补片可减少患者手术时间、住院时间及术区异物感,减轻术后疼痛,值得临床推广。

Objective To explore the clinical significance of automatic fixed mesh in inguinal hernia repair. Methods A total of 160 male patients with inguinal hernia in our hospital between December 2013 and January 2015 were randomly divided into ob- servation and control group,80 in each group. The observation group was treated with automatic fixed mesh while the control group was treated with ordinary polypropylene mesh. The postoperative pain VAS scores, the average operation time, the hospital stay, the complica- tions and the recurrence were compared between the two groups. Results There was no difference in pain scores on the first day after operation between the two groups （P 〉 0.05 ）. However,there were significant differences in the postoperative pain VAS scores on the 7th day,in the 1st month,the 3rd month and the 6th months between the two groups （P 〈0. 05）. The average operation time and the hospital stay in the observation group were shorter than those in the control group （ P 〈0. 05 ）. There was no foreign body sensation in the observation group, but 9 cases were found in the control group. One ease of scrotal hydrocele occurred in the observation group and 7 cases in the control group. The scrotal hydrocele was cured through physiotherapy and puncture. There were no seroma, wound infection and recurrence in the both groups. Conclusion Applications of automatic fixed mesh not only can reduce operation time, the hospital stay and the foreign body sensation, but also can reduce postoperative pain. It is worthy of promotion