轻型聚丙烯补片在腹股沟疝无张力修补术中的应用

目的 通过应用轻型聚丙烯补片与标准型聚丙烯补片进行腹股沟疝无张力修补术的对比研究,来初步验证轻型聚丙烯补片的应用价值.方法 实验组使用轻型聚丙烯补片,对照组使用标准型聚丙烯补片,每组各30例患者.记录两组患者手术前后的临床参数及术后并发症的发生例数,对数据进行统计学分析.结果 实验组手术时间(36±10)min,术后最高体温(37.16±0.47)℃,术后住院日数(1.9±1.0)d;对照组手术时间(38±9)min,术后最高体温(37.4±0.6)℃,术后住院日数(2.0±0.9)d,两组差异无统计学意义(P＞0.05).两组术后CRP升高的例数和术前与术后24 h血白细胞计数、中性粒细胞分类计数及生化AST、ALT、BUN、Cr等相比,差异均无统计学意义(P＞0.05).术后随访12～16个月,实验组阴囊积液2例,慢性疼痛1例,未出现局部异物感;对照组阴囊积液3例,慢性疼痛3例,出现局部异物感6例.两组局部异物感的发生率差异有统计学意义(P＜0.05).结论 轻型聚丙烯补片在腹股沟疝无张力修补术中的应用是安全有效的,可减少术后局部异物感的发生.

Lightweight polypropylene mesh in tension-free hernia repair

Objective To evaluate the effect of lightweight polypropylene mesh in tension-free repair of inguinal hernia.Methods A total of 60 patients were divided into 2 groups to receive lightweight polypropylene mesh(experimental group)or standard polypropylene mesh(control group)repair procedures.Data collected included:operation time,postoperative highest temperature and the length of hospital stay;leucocyte count and differential count,CRP,AST,ALT,BUN,Cr at the first day preoperatively and postoperatively.Postoperative complications including wound infection,hernia recurrence,testicular swelling or atrophy,scrotal hydrocele,chronic pain and foreign body feeling were compared with each other.Data were analyzed by statistical method.Results No significant differences were found between the two groups in the operation time,postoperative highest temperature,postoperative hospital stay,and cases of elevated postoperative CRP(c-reactive protein)level.No significant differences were found in the leucocyte count,differential count,and AST,ALT,BUN,Cr level perioperatively between the two groups.During the follow up period of 12～16 months,there was no wound infection,hernia recurrence,testicular swelling or atrophy in the two groups;There were 2 cases of scrotal hydrocele and 1 case of postoperative chronic pain in experimental group,there were 3 cases of scrotal hydrocele and 3 cases of postoperative chronic pain in control group;Six patients complained of foreign body feeling in control group,but no one in experiment group,the difference was statistically significant(P＜0.05).Conclusions Lightweight polypropylene mesh in tension-free herniorrhaphy is safe and effective.It ameliorates postoperative foreign body feeling thanks to the feature of light weight,high porosity and excellent flexibility.