3DMax与UHS腹膜前腹股沟疝修补术的对比研究.docVIP

3DMax与UHS腹膜前腹股沟疝修补术的对比研究 　　【摘要】 目的：比较3DMax补片与UHS补片行前入路腹膜前修补腹股沟疝的临床疗效及并发症。方法：选取2010年6月-2013年6月应用3DMax补片42例患者及UHS补片48例患者，行前入路修补方法治疗腹股沟疝。比较两组患者手术时间、手术后切口感染和血肿等并发症、恢复正常生活时间、术后短期（0.5～1年）复发率、术后4周疼痛及6个月时慢性疼痛及异物感发生率。结果：两组手术时间、术后恢复正常生活时间及术后半年疼痛发生率比较差异均无统计学意义（P0.05）。UHS组较3DMax组，术后4周内疼痛及术后6个月异物感发生率高，两组比较差异具有统计学意义（P0.05）。两组患者均无切口感染、血肿等并发症，术后1年均无复发。结论：3DMax补片治疗腹股沟疝与UHS补片疗效相似而并发症发生率低，有望成为今后疝修补术的更好方法。 　　【关键词】 3DMax补片； UHS补片； 腹股沟疝修补术； 腹膜前间隙 　　Analysis of the Clinical Effects of Inguinal Hernia Repair with 3DMax Mesh and UHS Mesh/ZHU Shi-bin，ZHAO Guo-hua.//Medical Innovation of China，2015，12（08）：007-009 　　【Abstract】 Objective：To evaluate and compare the effects of anterior approach preperitoneal repair of inguinal hernia with 3DMax mesh and UHS mesh.Method： 90 patients were treated by inguinal hernia repair during June 2010 and June 2013 in our hospital，including the operation time，wound infection and swelling complications，time for recovery to normal life and work，short-term（0.5-1.0 year after operation）recurrence rate，pain in 4 weeks，chronic pain and the occurrence rate of foreign body sensation in 6 months of two groups were compared.Result：There was no statistical difference between the two groups in the operation time，time for recovery，postoperative pain or neuralgia in 4 weeks（P0.05）.However，compared with 3DMax mesh UHS mesh caused more chronic pain or neuralgia in 4 weeks and foreign body sensation in 6 months after operation，the differences were statistical difference（P0.05）.No incision infection or hematoma showed in the two groups and no relapse found one year after operation. Conclusion：3DMax mesh has similar clinical effects with UHS mesh in inguinal hernia repair，but with a lower complication rate，it is prospectively a better clinical method for repairing hernia in future. 　　【Key words】 3DMax mesh； UHS mesh； Inguinal herniorhaphy； Preperitoneal space 　　First-author’s address：Dalian Municipal Central Hospital Affiliated of Dalian Medical University，Dalian 11603