应用生物材料行腹股沟后壁加强重建技术治疗青年腹股沟疝疗效分析

Clinical analysis on the technique of transverse fascia reinforcement with biological mesh in young inguinal hernia patients

目的分析应用生物补片重建腹股沟后壁技术在青年(18~44岁)腹股沟疝病人中的应用价值。方法回顾性分析2013年1月至2018年12月复旦大学附属华东医院收治的127例青年腹股沟疝病人的临床资料,通过利用生物材料行腹股沟后壁加强重建技术,观察围手术期及随访期内的指标。结果 127例手术均顺利完成,术后3例出现明显疼痛感,3例出现阴囊水肿,其余病人均未见明显不适,术后随访3~12个月,所有病人均未见复发、慢性疼痛和感染等并发症发生。结论合理应用生物补片修补中青年腹股沟疝病人效果良好,优势在于可最大程度降低不可吸收补片对于病人长期生活质量的影响,以及对精索等周围组织的影响。同时通过腹横筋膜重叠修补和生物材料加强技术可有效降低病人术后感染和慢性疼痛的风险,其在此类病人中的应用值得进一步研究。

Objective To analyze the application value of biological mesh in inguinal hernia patients aged from 18 to44 years old.Methods The clinical data of 127 patients with inguinal hernia admitted from January 2013 to December 2018 in Huadong Hospital Affiliated to Fudan University were analyzed retrospectively.Through the abdominal transverse fascia reinforcement with biological mesh(tTRB),it was to observe indicators during perioperative and followup periods,to explore the application value and treatment experience of biological mesh in young patients with inguinal hernia.Results All the 127 cases were successfully completed.There were obvious pain in 3 cases and scrotal edema in 3 cases.No other patients were found to have obvious discomfort.All patients had no complications such as recurrence,chronic pain and infection after 3 to 12 months of follow-up.Conclusion The rational use of biological mesh to repair young and middle-aged patients with inguinal hernia is effective.The advantage is that the effect of mesh minimize the impact on long-term quality of life in young patients.At the same time,the risk of postoperative infection and chronic pain is effectively reduced by reinforcement of transverse fascia with biological mesh,which is worthy of further study.