局麻自粘合半可吸收补片（Progrip）应用于 成人腹股沟疝的临床研究
周 琳
（南阳医学高等专科学校，河南 南阳，473000）
中图分类号：R656.21 文献标识码：A 文章编号：1674-7860（2016）15-0127-02 证型：IDGB
【摘 要】目的：对比研究自粘合半可吸收补片在成人腹股沟疝无张力修补术中的临床应用。方法：总结分析我院2012年6月—2013年6月治疗成人腹股沟疝114例，其中采用自粘合半可吸收（Progrip）补片60例，常规补片54例，对比两组患者手术时间、围手术期并发症（感染、血肿、血清肿），中期并发症（顽固性疼痛、异物感）及远期并发症等情况。结果：手术过程均顺利，观察组手术时间较对照组短，且差异有统计学意义（P＜0.05）。在术后感染、血肿、血清肿等方面的比较无统计学差异（P＞0.05）。两组复发率的比较无统计学差异（P＞0.05）。但在术后疼痛及异物感的比较，观察组优于对照组（P＜0.05）。结论：自粘合半可吸收补片治疗成人腹股沟疝不仅康复快，且舒适性更强、创伤更小，具有更好的临床推广和良好的社会价值。
【关键词】腹股沟疝；无张力修补；自粘合半可吸收补片
【Abstract】Objective:To compare and study the clinicalapplication of self-adhesive and semi-resorbable mesh in tension-free repair ofadult inguinal hernia. Methods: 114 cases of adult inguinal hernia patientstreated in our hospital from June 2012 to June 2013 were analyzed andsummarized, among which 60 cases received self-adhesive and semi-resorbablemesh (Progrip) and 54 cases received conventional patches. The operative time,perioperative complications (infection, hematoma, seroma), medium-termcomplications (intractable pain, foreign body sensation) and long-termcomplications of two groups of patients were compared. Results: The surgicalprocedures of all patients were successful. The operation time of theobservation group was shorter than that of the control group, the differencewas statistically significant (P＜0.05). There was no statisticallysignificant difference in postoperative infection, hematoma, seroma and otheraspects (P＞0.05). There was no statisticallysignificant difference in the recurrence rate of the two groups (P＞0.05). But the postoperative pain andforeign body sensation of the observation group was less than that of thecontrol group (P＜0.05). Conclusions: Self-adhesive and semi-absorbablepatch treatment not only achieved fast recovery in treating adult inguinalhernia, it was also comfortable and less invasive, which meant it hadsignificance in more clinical practice and good social values.
【Keywords】Inguinalhernia; Tension-free repair; Self-adhesive and semi-resorbable mesh
doi:10.3969/j.issn.1674-7860.2016.15.062
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