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普理灵疝装置在股疝无张力修补术中的应用 被引量:20

Polypropylene-Prolene Hernia System in the application of tension-free herniorrhaphy of femoral hernia
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摘要 目的探讨应用普理灵疝装置(Polypropylene-Prolene Hernia System,PHS)行股疝无张力修补的疗效。方法分别应用美国强生公司生产的普理灵疝装置(PHS)和美国巴德公司生产的网塞(PerFix Plug,Plug)作为疝修补材料行股疝修补术,将36例股疝患者随机分为PHS组和Plug组,对2组的手术时间、住院天数、术后并发症和复发率等临床资料进行对比研究。结果随访6- 30个月,PHS组与Plug组手术时间分别为(42±7)min和(41±4)min;住院天数(4.1±1.0)d和(4.4±1.2)d;PHS组术后无复发,1例出现阴囊积液,Plug组复发2例,1例出现皮下血肿。Plug组术后5例有异物感,PHS组0例,差异有统计学意义(P<0.05)。结论普理灵疝装置在股疝无张力修补术中的应用是安全有效的。 Objective To study the application of Polypropylene-Prolene Hernia System (PHS) in tension-free herniorrhaphy of femoral hernia. Methods A total of 36 patients with femoral hernia were randomly divided into 2 groups to receive respectively PHS or Plug repair procedure. Data collected included: operative time, hospital stay, postoperative complications and recurrence rate. Results In PHS and Plug groups, the operative time were (42 ±7) min and (41 ±4) min respectively, the hospital stay was (4. 1 ± 1.0) d and (4. 4 ± 1.2) d respectively. During the follow up period from 6 to 30 months,there was no recurrence, one case of scrotal hydrocele in PHS group, and there were two cases of recurrence and one case of ecchymoma in Plug group. Five patients complained of foreign body feeling in Plug group, and no patient in PHS group (P 〈 0. 05 ). Conclusions Tension-free herniorrhaphy with PHS is a safe and effective procedure for the treatment of femoral hernia.
出处 《中华普通外科杂志》 CSCD 北大核心 2006年第12期879-881,共3页 Chinese Journal of General Surgery
关键词 外科手术 疝修补术 Hernia, femoral Surgical procedures,operative Herniorrhaphy
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