摘要
目的比较传统疝修补术与生物补片疝修补术治疗育龄青壮年疝的效果。方法回顾性分析2014年2月至2015年6月,南京医科大学附属南京医院收治育龄青壮年腹股沟疝患者62例患者临床资料。根据手术方式不同分为2组,传统疝修补术组30例,生物补片疝修补术组32例。比较2组住院时间、住院费用、局部血清肿、切口裂开、术后疼痛程度与出院后手术区域疼痛的情况。结果 2组手术均顺利完成,传统疝修补术组住院费用低、手术时间少于生物补片疝修补术组,差异有统计学意义(t=-24.901、-5.342,P=0.000、0.003)。但传统疝修补术组术后疼痛例数与术后疼痛时间明显多于生物补片疝修补术组,差异有统计学意义(χ2=9.854、15.855,P=0.000、0.003)。2组住院时间、切口延期愈合发生率比较,差异无统计学意义(t=1.212、χ2=0.200,P=0.23、0.655)。术后随访10~24个月,平均15.8个月,2组均无疝复发,补片感染或排异,睾丸萎缩等并发症。结论对于育龄青壮年腹股沟疝患者,应强调个体化治疗。按Gilbert分型,对于Ⅰ、Ⅱ型可行传统疝修补,而Ⅲ型以上建议使用生物补片。
Objective To compare the effect of traditional hernia repair and biological mesh hernia repair on young adults of childbearing age.Methods The clinical data of 62 cases of young adults of childbearing age admitted to the Nanjing Hospital of Nanjing Medical University from February 2014 to June 2015 were retrospectively analyzed.The patients were divided into two groups according to the operation method,including 30 cases of traditional hernia repair and 32 cases of biological mesh hernia repair.The length of hospital stay,cost of hospitalization,seroma,Incision dehiscence,degree of postoperative pain and pain in the surgical field after discharge were compared between the two groups.Results The operation of both groups was successfully completed.The cost of hospitalization and operation time in the traditional hernia repair group was lower than those in the biological mesh hernia repair group（t=-24.901,-5.342,P=0.000,0.003）.However,the number of postoperative pain and postoperative pain time in the traditional hernia repair group were significantly more than those in the biological mesh hernia repair group（χ2=9.854,15.855,P=0.000,0.003）.There were no significant differences between the two groups in the length of stay and incision delayed healing（t=1.212,χ2=0.200,P=0.23,0.655）.All cases were followed up for 10 to 24 months with an average of 15.8 months.No complications such as hernia recurrence,patch infection or rejection,and testicular atrophy were observed in both groups.Conclusion For young adults of childbearing age,individualized treatment should be emphasized.According to Gilbert classification,type Ⅰ,Ⅱ are recommended to use the traditional hernia repair,and for type Ⅲ is recommended to use the biological mesh hernia repair.
作者
吴向阳
陶平
周琎
陈良根
王帅
Wu Xiangyang;Tao Ping;Zhou Jin;Chen Lianggen;Wang Shuai.(Department of General Surgery, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China)
出处
《中华疝和腹壁外科杂志（电子版）》
2018年第4期271-276,共6页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
吴阶平临床科研专项资助基金(320.6750.16213)
关键词
疝
腹股沟
育龄青壮年
传统疝修补
生物补片
Hernia
inguinal
Young adults of childbearing age
Traditional hernia repair
Biological mesh
