摘要
目的:比较腹腔镜经腹腹膜前腹股沟疝补片修补术(TAPP)中使用巴德3D-MAX补片与国产普通平片的临床疗效及安全性。方法:将50例腹股沟疝患者按数字表法分为3D-MAX组和普通平片组,比较在TAPP中使用这两种不同补片的手术时间、术中出血量、术后住院时间及住院费用、术后疼痛、阴囊血清肿、阴囊血肿、复发等并发症发生率。结果:3D-MAX组手术时间短于普通平片组,出血量低于普通平片组,住院费用高于普通平片组,差异有统计学意义(P<0.05),两组患者术后住院时间差异无统计学意义(P≥0.05)。3D-MAX组在术后疼痛、术后尿潴留、阴囊血清肿、阴囊血肿、切口感染、术后复发方面差异无统计学意义(P>0.05)。结论:TAPP中使用3D-MAX补片效果确切,操作简单,但费用较高,3D-MAX补片在腹腔镜经腹腹膜前疝修补术中有一定优势。
Objective:To compare the clinical efficacy and safety of 3D-MAX mesh and conventional domestic mesh in transabdominal preperitoneal laparoscopic inguinal herniorrhaphy(TAPP). Methods:Fifty patients with inguinal hernia were allocated to 3D-MAX group and conventional domestic mesh group by random digital table,and compared regarding operative time,intraoperative blood loss,postoperative hospital stay,medical cost as well as postoperative pain,scrotal seroma and hematoma,wound infection and recurrence rate. Results:Patients treated with 3D-max mesh had shorter operative time and lower intraoperative blood loss,yet higher medical cost than those managed with conventional domestic mesh(P<0.05).The difference was insignificant between group concerning the postoperative hospital stay,incidences of pain,urinary retention,scrotal seroma and hematoma,incision infection and postoperative recurrence. Conclusion:3D-MAX patch can be safe and effective as well as easy performance in TAPP,yet the medical cost of it may be higher.
作者
叶新
王小明
张应开
姚尧
YE Xin;WANG Xiaoming;ZHANG Yingkai;YAO Yao(Department of General Surgery,The Second People's Hospital of Wuhu,Wuhu 241000,China)
出处
《皖南医学院学报》
CAS
2019年第3期247-250,共4页
Journal of Wannan Medical College
基金
安徽省科技惠民专项基金(YDZX20183400004899)