非编织聚丙烯补片与普通编织聚丙烯补片在腹腔镜腹股沟疝修补术的临床效果

Comparison of non-woven and woven polypropylene mesh in laparoscopic inguinal hernia repair

目的探讨非编织聚丙烯补片与普通编织聚丙烯补片应用于腹腔镜腹股沟疝修补术的临床效果。方法回顾性分析2016年5月至2018年1月,上海市第六人民医院金山分院运用两种类型聚丙烯补片行腹腔镜无张力疝修补术治疗腹股沟疝136例患者的临床资料,根据患者使用的补片不同分为2组。试验组患者65例,使用非编织聚丙烯补片;对照组患者71例,使用普通编织聚丙烯补片。比较不同类型聚丙烯补片治疗腹股沟疝的手术安全性和短期疗效。结果136例患者均顺利完成手术。试验组手术时间、术后住院时间及术中出血量分别为55(35,75)min、2(1,3.5)d、5(2,10)ml,与对照组45(35,60)min、2(1,3)d、3(2,5)ml比较,差异均无统计学意义(P>0.05);试验组血清肿、慢性疼痛、异物感及复发情况分别为5(7.69%)、0、1(1.54%)和0与对照组8(11.27%)、5(7.04%)、7(9.86%)和0比较,差异均无统计学意义(P>0.05)。结论非编织聚丙烯疝补片在腹腔镜腹股沟疝修补术的应用中疗效确切,值得临床推广。

Objective To observe the treatment of inguinal hernia with non-woven polypropylene and woven polypropylene mesh in TAPP,and to explore the clinical effect of different types of polypropylene mesh in the treatment of inguinal hernia.Methods A retrospective analysis of the medical records of 136 patients with inguinal hernia underwent TAPP with two types of polypropylene meshes from May 2016 to January 2018,with 65 cases using non-woven polypropylene mesh(experimental group)and 71 cases of woven polypropylene mesh(control group).The safety and short-term outcome of the different types of polypropylene mesh in the treatment of inguinal hernia were compared.Results All the 136 patients successfully completed the operation.The operation time of the experimental group was 55(35,75)minutes,the postoperative hospital stay was 2(1,3.5)days,the intraoperative blood loss was 5(2,10)ml;and the control group was operated for 45(35,60)minutes,the hospital stay was 2(1,3)days,and the intraoperative blood loss was 3(2,5)ml.There were no significant differences between the two groups.Seroma of inguinal region was occurred in 5 cases of the experimental group,and 8 cases of the control group.There was no chronic pain in the experimental group and 5 cases of chronic pain in the control group.There were 1 case of local foreign body sensation in the experimental group and 7 cases in control group.The differences were not statistically significant.Conclusion Non-woven polypropylene mesh is effective in the application of TAPP repair and it is worthy of clinical promotion.