摘要
目的探讨无张力疝修补术后慢性疼痛的原因及预防对策。方法对我院自2002年2月至2007年9月期间426例实施无张力疝修补术患者的临床资料进行回顾性分析。结果所有患者均行无张力疝修补术,根据手术方式分为2组:聚丙烯材质充填式组(n=210)和膨体聚四氟乙烯平片组(n=216)。术后疼痛发生率,聚丙烯材质充填式组为9.0%(19/210),膨体聚四氟乙烯平片组为4.2%(9/216),两组差异有统计学意义(P<0.05)。结论膨体聚四氟乙烯平片无张力疝修补术可减少腹股沟疝修补术后慢性疼痛的发生,疝修补材料应采用更符合生理、柔软舒适、并发症少的材质。
Objective To explore the cause and treatment of chronic pain after tension-free repair of inguinal hernia. Methods The clinical data of 426 cases with inguinal hernia underwent the tension-free hernioplasty during February 2002 to September 2007 were retrospectively analyzed. Results Tension-free hernioplasty was performed to all patients. According to operative methods, they were divided into two groups： polypropylene filling group （n = 210） and expanded polytetrafluoroethylene （e-PTFE） mycromesh group （n = 216）. The chronic pain rate after operation, polypropylene filling group （9.0% , 19/210） was significantly higher than e PTFE mycromesh group （4. 2 %, 9/216）, P〈0.05. Conclusion The tension-free repair by e-PTFE mycromesh has less pain in the inguinal hernia due to the material is more suitable to human physiology, more soft and light, with less complications.
出处
《中国普外基础与临床杂志》
CAS
2009年第2期95-97,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
无张力疝修补术
慢性疼痛
聚丙烯
聚四氟乙烯
Tension-free hernioplasty
Chronic pain
Polyprophelene
PolytetrafluoroethyIene
