摘要
目的探讨采用超普网塞(Ultrapro Plug)腹膜前间隙修补术治疗成人脐疝的疗效。方法回顾分析2011年9月-2015年6月采用超普网塞腹膜前间隙修补术治疗的71例脐疝患者临床资料。男26例,女45例;年龄19~92岁,平均54.3岁。病程45 d^30年,中位病程18个月。术前经彩色超声多普勒及CT检查明确。根据美国麻醉医师协会(ASA)麻醉分级标准:Ⅰ级12例,Ⅱ级34例,Ⅲ级21例,Ⅳ级4例。记录手术时间、术后住院时间、手术并发症及复发情况。结果术中探查疝环直径0.5~3.0 cm,平均1.8 cm;无肠管、血管损伤等并发症发生。手术时间12~35 min,平均22.4 min;术后住院时间12~48 h,平均16.3 h。术后2例切口发生脂肪液化,其余患者切口Ⅰ期愈合。69例患者获随访,随访时间8~51个月,中位时间28个月。术后出现血清肿1例,补片感染1例,脐疝复发1例;无术后异物感及慢性疼痛发生。结论采用超普网塞腹膜前间隙修补术治疗成人脐疝,具有手术时间及住院时间短、术后恢复快、并发症少以及复发率低等优点。
Objective To explore the effectiveness of preperitoneal herniorrhaphy with Ultrapro Plug（UPP） mesh for umbilical hernia repair in adults. Methods Between September 2011 and June 2015, 71 patients with umbilical hernia underwent preperitoneal herniorrhaphy with UPP mesh. There were 26 males and 45 females, aged 19-92 years（mean, 54.3 years）. The disease duration was 45 days to 30 years（median, 18 months）. Umbilical hernia was diagnosed through physical examination, ultrasound, and other relevant auxiliary examination. According to American Society of Anesthesiologists（ASA） classification, 12 cases were rated as grade I, 34 cases as grade II, 21 cases as grade III, and 4 cases as grade IV. The operation time, postoperative hospitalization time, complication, and recurrence were recorded. Results The diameter of hernia ring ranged 0.5-3.0 cm（mean, 1.8 cm）. There was no vessel or intestine injury. The operation time was 12-35 minutes（mean, 22.4 minutes）; postoperative hospitalization time was 12-48 hours（mean, 16.3 hours）. Fat liquefaction of incision occurred in 2 cases, and primary healing of incision was obtained in the other cases. Sixty-nine patients were followed up 8-51 months（median, 28 months）. Hernia recurrence and patch infection occurred in 1 case respectively during follow-up. No postoperative foreign body sensation and chronic pain occurred. Conclusion Repairing umbilical hernia in adults with UPP mesh should be safe and reliable, because it has the advantages of short operation time, short hospital stay, less complication, and lower incidence of recurrence.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2016年第6期739-741,共3页
Chinese Journal of Reparative and Reconstructive Surgery
基金
四川省卫生和计划生育委员会科研课题资助项目(150147)~~
关键词
脐疝
无张力修补术
超普网塞
成人
Umbilical hernia
Tension-free herniorrhaphy
Ultrapro Plug mesh
Adult
