3Dmax轻量型疝补片和Prolene重量型网片腹膜前修补腹股沟疝的比较

Comparison of 3Dmax light-weight hernia mesh and Prolene weight mesh for the repair of inguinal hernia

背景:腹腔镜全腹膜外腹膜前疝修补腹股沟疝具有较好的临床疗效,但是术中选择哪种补片能够加速患者康复时间,提高患者术后康复质量有待于进一步探讨。目的:对比3Dmax轻量型疝补片和Prolene重量型网片修补腹股沟疝的效果。方法:选择2016年1月至2018年12月辽宁省人民医院收治的110例腹股沟疝患者,其中男97例,女13例,年龄18-70岁,均接受腹腔镜全腹膜外腹膜前疝修补,其中67例采用3Dmax轻量型疝补片,43例采用Prolene重量型网片,记录术后并发症发生情况。术后随访12个月,对比两组目测类比评分、SF-36生活质量评分。试验获得辽宁省人民医院伦理委员会批准。结果与结论:①3Dmax补片组非感染性发热例数少于Prolene网片组(P<0.05),两组切口感染、尿潴留、血肿发生情况比较差异无显著性意义(P>0.05);②3Dmax补片组术后3,6,12个月的目测类比评分均低于Prolene网片组(P<0.05);③术后7 d的SF-36生活质量评分显示,3Dmax补片组健康状态、生活能力与社会功能3个方面的评分及总分均高于Prolene网片组(P<0.05);④术后3,6,12个月的SF-36生活质量评分显示,3Dmax补片组走路、抬重物与体育活动等日常生活受限程度轻于Prolene网片组(P<0.05);⑤结果表明对比Prolene重量型网片,采用3Dmax轻量型疝补片行腹腔镜全腹膜外腹膜前疝修补可减少不良反应、降低疼痛程度、加速患者康复时间、提高患者术后康复质量。

BACKGROUND:Laparoscopic total extraperitoneal anterior peritoneal repair of inguinal hernia has a good clinical effect.However,it should be further discussed how to choose the right mesh in surgery can accelerate the recovery time and improve the postoperative recovery quality of patients.OBJECTIVE:To compare the effect of 3Dmax light-weight hernia mesh and Prolene weight mesh on the repair of inguinal hernia.METHODS:A total of 110 patients with inguinal hernia treated in the People’s Hospital of Liaoning Province from January 2016 to December 2018 were selected,including 97 males and 13 females,at the age of 18-70 years old.All the patients underwent laparoscopic total extraperitoneal anterior peritoneal hernia repair.3Dmax light-weight hernia meshes were used in 67 patients and Prolene heavy mesh were used in 43 patients.Postoperative complications were recorded.The patients were postoperatively followed up for 12 months.Visual analogue scale score and SF-36 quality of life score were compared between the two groups.The experiment was approved by the Ethics Committee of the People’s Hospital of Liaoning Province.RESULTS AND CONCLUSION:(1)The number of cases of non-infectious fever in the 3Dmax mesh group was less than that in the Prolene mesh group(P<0.05).There was no statistically difference between the two groups in incision infection,urinary retention,and hematoma(P>0.05).(2)The visual analogue scale score of the 3Dmax mesh group was lower than that of the Prolene mesh group at 3,6 and 12 months after surgery(P<0.05).(3)The SF-36 quality of life score 7 days after surgery showed that the health status,living ability and social function scores and total scores of the 3Dmax mesh group were higher than those of the Prolene mesh group(P<0.05).(4)The SF-36 quality of life score at 3,6 and 12 months after surgery showed that the 3Dmax mesh group had less restrictions on daily activities such as walking,lifting heavy objects and physical activities than those in the Prolene mesh group(P<0.05).(5)The results show that compared to the Prolene weight mesh,the use of 3Dmax light-weight hernia mesh for repair of laparoscopic total extraperitoneal anterior peritoneal hernia can reduce adverse reactions,reduce the degree of pain,accelerate the recovery time of patients,and improve the quality of postoperative recovery.