青少年腹股沟疝治疗中应用补片的争议、共识及合理选择

Controversy, consensus and reasonable choice of application of mesh in treatment of inguinal hernia in adolescents

青少年腹股沟疝在现代外科学治疗中有其特殊性,既不能像处理儿童疝一样仅进行腹股沟疝疝囊的高位结扎,又不能像治疗成人腹股沟疝一样进行传统缝合手术或使用人工合成材料进行无张力疝修补,目前在青少年腹股沟疝治疗中对补片的使用仍存在争议。生物补片作为一种可吸收材料,修补腹股沟疝缺损的同时诱导自身细胞及纤维组织生长修复腹壁缺损,并在自体组织增生修复腹壁缺损后可被机体降解吸收,不影响青少年的生长发育,在青少年腹股沟疝修补手术中的优势得到了越来越多学者的肯定,所以生物补片成为青少年腹股沟疝修补材料中比较理想的选择。

The adolescent inguinal hernia has particularity in modern surgical treatment.Because of in the stage of growth and development,it can not be used only for the inguinal hernia sac high ligation,nor can it be treated as an adult inguinal hernia with artificial synthesis material mesh.Therefore,there are still many disputes in adolescent inguinal hernia treatment.As a kind of absorbable material,biologic mesh can repair inguinal hernia defect and induce the growth of cells and fibrous tissue to repair the defect of the inguinal wall.It can be degraded and absorbed by the body after the repair of the defect by the proliferation of autologous tissue,which does not affect the growth and development of adolescents,and its advantages have been affirmed by more scholars.Biologic mesh has become an ideal choice for the repair of inguinal hernia in adolescents.