普通聚丙烯网片与超普疝修补装置在巨大腹股沟疝修补中的对照研究

Contrastive study on common polypropylene mesh and ultrapro hernia system in repair of giant inguinal hernia

目的比较普通聚丙烯网片与超普疝修补装置(UHS)在巨大腹股沟疝修补中的优缺点,为其补片的选择提供依据。方法回顾性研究该科2007年1月至2016年2月收治的78例巨大腹股沟疝患者的临床资料。将78例患者分为A组(35例)和B组(43例),分别在修补术中使用普通聚丙烯网片和UHS。就两组手术住院情况、手术并发症、复发率等情况进行比较。结果两组手术时间、术后住院时间、术后疼痛持续时间,伤口感染、伤口或阴囊血肿发生率比较,差异均无统计学意义(P>0.05);但B组异物感或慢性疼痛发生率、复发率明显低于A组,而B组住院费用高于A组,差异均有统计学意义(P<0.05)。结论巨大腹股沟疝修补术中UHS具有复发率低、异物感或慢性疼痛少等优点,值得临床推广。

Objective To compare the merits and disadvantages of common polypropylene mesh and ultrapro hernia sys-tem（UHS） in the repair of giant inguinal hernia to provide a basis for selecting the mesh. Methods The medical record data in78 cases of giant inguinal hernia in our hospital from January 2007 to February 2016 were retrospectively analyzed. The patients were divided into group A（35 cases） and B（43 cases）. The two groups used the common polypropylene mesh and UHS respectively. The operation,hospitalization,surgical complications,recurrence rate,etc. were compared between the two groups. Results The operative time,postoperative hospitalization time,postoperative pain persisting time,wound infection,occurrence rate of wound or scrotal hematoma had no statistical difference between the two groups（P〈0.05）; but the occurrence rate of foreign body sensation or chronic pain,and recurrence rate in the group B was significantly lower than that in the group A,while the hospitalization fee in the group B was higher than that in the group A,the difference was statistically significant（P〈0.05）. Conclusion UHS has advantages of low recurrence rate,less foreign body sensation or chronic pain in giant inguinal hernia repair,which is worth clinical promotiond.