摘要
目的对比分析普理灵缝线联合化学性医用胶固定补片与单纯普理灵缝线固定补片在Lichtenstein手术的中应用价值。方法 2010年5月至2012年5月,徐州市中心医院对收治入院的腹股沟疝患者234例行腹股沟无张力疝修补手术(Lichtenstein)。将患者随机分为二组,观察组132例患者,术中补片固定采用腹股沟韧带外下方应用普理灵缝线固定1～2针,余部位应用化学性医用胶固定。对照组102例患者术中补片固定全部应用普理灵缝线。分析二组患者的临床资料。结果随访6～30个月,二组均无切口感染,均未见复发。观察组术后未出现慢性疼痛,无局部血肿或血清肿,局部异物感2例;对照组术后慢性疼痛5例,局部血肿或血清肿5例,局部异物感2例。结论在Lichtenstein手术中应用化学性医用胶粘合固定平片不增加术后复发和异物感,还可以减少术后慢性疼痛和局部血肿,疗效安全、可靠。
Objective To compare the value of combination for medical glue fixed patch and Pro- lene sutures with pure Prolene suture fixation patch in the Lichtenstein surgery. Methods A total of 235 pa- tients with tension-free inguinal hernia repair （Lichtenstein） were enrolled in Xuzhou Central Hospital. The patients were randomly divided into two groups including 132 patients in the observation group. Surgery patch was fixed under the inguinal ligament by the Prolene suture fixation. The rest were fixed by medical glue. The control group includes 102 cases, which were applied with the Prolene sutures. The clinical data were ana- lyzed in the two groups. Results The results were followed up for 6 to 30 months. No incision infection was observed in the two groups without any recurrence. The patients were reported with chronic pain in the obser- vation group without local hematoma or seroma, or local foreign body sensation in the two cases. The control group had 5 cases of chronic pain and four cases of local hematoma or seroma, and 2 cases of foreign body sensation. Conclusions The Lichtenstein surgery with applications of fixed plain film adhesive medical glue would not increase recurrence after operation and foreign body sensation, and can also reduce chronic pain after surgery and local hematoma ,which is effective, safe, and reliable.
出处
《中华疝和腹壁外科杂志（电子版）》
2013年第2期42-44,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
外科手术
无张力
疝修补术
缝线
Hernia, inguinal
Surgical procedures, operative
Tension-free
Hemiorrhaphy
Suture
Adhesive
