标准聚丙烯补片与部分可吸收补片在腹股沟疝腹膜前修补术中的疗效

Comparative study of standard and partial absorbable polypropylene mesh in preperitoneal hernioplasty

目的比较标准聚丙烯补片与部分可吸收补片在腹股沟疝腹膜前修补中的差异。方法采用前瞻性随机对照的研究方法,对2018年1至9月吉林大学第二医院148例单侧男性腹股沟疝患者随机分为标准聚丙烯补片组(PM组,73例)和部分可吸收补片组(PAM组,75例),分别应用标准聚丙烯补片和部分可吸收补片进行腹膜前腹股沟疝修补术。术后分别观察2组的术后平均住院时间、血清肿、补片感染、术后疼痛、复发、异物感以及治疗费用等相关情况,并应用生活质量评价量表(SF-36)评估其生活质量。结果2组患者术后平均住院时间、血清肿发生率、补片感染率、复发率均比较,差异均无统计学意义(P>0.05);术后6个月疼痛感、局部异物感和治疗费用比较,差异均有统计学意义(P<0.001、0.016 8、<0.001);2组患者术后SF-36评分比较,差异无统计学意义(P>0.05)。结论应用部分可吸收补片可改善患者术后疼痛和异物感的情况,但是需要较高的治疗费用;标准聚丙烯补片与部分可吸收补片均不影响患者术后的生活质量。

Objective To compare the difference in postoperative effects between standard polypropylene (SP) mesh and partial absorbable (PA) mesh in preperitoneal hernioplasty. Methods A prospective randomized controlled study was conducted to investigate 148 male patients with unilateral inguinal hernia in the Second Hospital of Jilin University between January 2018 and September 2018. They were randomly divided into two groups: SP mesh group (73 patients) and the PA mesh group (75 patients). A tension-free repair using the preperitoneal hernioplasty technique was performed on all patients. The postoperative hospital stay, seroma, mesh infection, postoperative pain, recurrence, foreign body sensation and hospital cost were compared between the two groups, as well as the patients' quality of life was evaluated by the Medical Outcomes Study Short-Form (SF) 36 questionnaire which was completed by the patient. Results No statistical difference was observed for average length of stay, incidence of seroma, mesh infection rate and recurrence rate between the two groups (P>0.05). There were significant differences in pain at 6 months after operation (P<0.001), foreign body sensation (P=0.016 8) and hospital cost (P<0.001) between the two groups. No statistical difference was observed for SF-36 score between the two groups (P>0.05). Conclusion Implantation of partial absorbable mesh can ameliorate postoperative pain and foreign sensation but will need more curative cost for patients. Neither of the mesh would affect the quality of patients' life after operation.