??????岹??????????????????????ü?????

目的探讨双层立体补片在成人急性腹股沟嵌顿疝治疗中的临床效果及可行性。方法对2007年1月至2010年11月余姚市第四人民医院154例成人急性腹股沟嵌顿疝的临床资料进行分析。应用传统疝修补术81例(传统组),双层立体补片式无张力性疝修补术73例(无张力组),比较两组治疗效果。结果双层立体补片式无张力疝修补术在住院时间、术后疼痛、术后下床活动时间、可从事重体力活动时间、术后复发率等方面显著优于传统组,差异有统计学意义(P<0.01);而在手术时间、切口感染、切口局部发红、阴囊水肿、尿潴留等比较差异无统计学意义(P>0.05);异物感及皮下硬节发生率显著高于传统组(P<0.01)。结论双层立体补片式无张力疝修补术可选择性用于成人急性腹股沟嵌顿疝的治疗。

Clinical analysis of double-layer three-dimensional mesh in the treatment of incarcerated inguinal hernia

Objective To investigate the clinical efficacy and feasibility of the double-layer three-dimensional patch in the treatment of acute incarcerated inguinal hernia in adults. Methods The clinical data of 154 cases of adult acute incarcerated inguinal hernia admitted from January 2007 to November 2010 at the Fourth People’s Hospital of Yuyao City were analyzed. Traditional hernia repair was performed in 81 cases(traditional group) ,and double-layer three-dimensional patch tension-free hernia repair was performed in 73 cases(tension-free group) . The therapeutic efficacy was compared between the two groups. Results The length of stay,postoperative pain,postoperative ambulation time,engaged in heavy physical activity time,and postoperative recurrence rate in tension-free group were better than those in the traditional group significantly. The difference was significant statistically(P<0.01) . The was no significant difference in operative time,wound infection,incisional local redness,scrotal edema and urinary retention between two groups(P> 0.05) . The foreign body sensation and subcutaneous hard section rate in tension-free group were higher than those in the traditional group significantly(P <0.01) . Conclusion The double-layer three-dimensional patch tension-free hernia repair can be choosed in the treatment of adult acute incarcerated inguinal hernia.