自固定补片与超普网塞补片在无张力疝修补术中的临床对比分析

发布时间：2018-10-11 17:55

【摘要】：目的对比分析自固定补片(Pro Grip)与超普网塞补片(UPP)在无张力疝修补术中的临床应用效果。方法收集黔西南州人民医院2015年1至12月确诊为腹股沟斜疝或直疝的92例患者,按入院的顺序编号,奇数为试验组(47例),偶数为对照组(45例),试验组采用自固定补片(Pro Grip),而对照组采用超普网塞补片(UPP),均在全麻或腰硬联合麻醉下行无张力疝修补术。观察2组患者手术时间、住院时间、住院费用、术后并发症(切口感染、阴囊积液、复发)、术后异物感、术后疼痛等临床指标的变化。疼痛评分用视觉模拟评分表记录。随访时间15个月。结果 2组患者在年龄、性别、疝的类型、合并症等临床资料方面比较,差异无统计学意义(P0.05)。2组平均手术时间、住院时间及术后第3天、1、3、9、15个月术后疼痛程度方面自固定补片组优于超普网塞补片组,差异有统计学意义(P0.05)。而自固定补片组住院费用略高,与超普网塞补片组比较差异有统计学意义(P0.05)。术后第1、3、6、9、15个月异物感发生率及术后并发症(切口感染、阴囊积液、复发)发生率等方面比较,2组差异无统计学意义(P0.05)。结论自固定补片组住院总费用略高于超普网塞补片组,术后异物感发生率、术后并发症(切口感染、阴囊积液、复发)发生率无明显差别,而用自固定补片行疝修补术具有手术时间、住院时间短,术后疼痛轻等优点。因此,自固定补片有望在疝修补术中得到普及。
[Abstract]:Objective to compare and analyze the clinical effect of (Pro Grip) and (UPP) in tension-free hernia repair. Methods 92 patients diagnosed as indirect inguinal hernia or direct hernia from January to December 2015 in Qianxinan people's Hospital were collected and numbered according to the order of admission. The odd number was the experimental group (47 cases) and the even number was the control group (45 cases). The experimental group was treated with self-fixed patch (Pro Grip), while the control group was treated with supernormal mesh plug patch (UPP), under general anesthesia or combined spinal-epidural anesthesia with tension-free herniorrhaphy. The changes of operation time, hospitalization cost, postoperative complications (incision infection, scrotum effusion, recurrence), postoperative foreign body sensation and postoperative pain were observed. Pain scores were recorded using visual analogue scale. The follow-up period was 15 months. Results there was no significant difference in age, sex, type of hernia and complications between the two groups (P0.05). The length of hospital stay and postoperative 3 days, 1, 3, 9, 15 months of postoperative pain in the self-fixed patch group was better than that in the ultra-plain mesh patch group, the difference was statistically significant (P0.05). The hospitalization cost of the self-fixed patch group was slightly higher than that of the supernormal mesh plug group (P0.05). There was no significant difference in the incidence of foreign body sensation and postoperative complications (incision infection scrotum effusion recurrence) between the two groups (P0.05). Conclusion the total cost of hospitalization in the self-fixed patch group was slightly higher than that in the supernormal mesh patch group. There was no significant difference in the incidence of foreign body sensation and postoperative complications (incision infection, scrotal effusion, recurrence). The herniorrhaphy with self-fixed patch has the advantages of short time of operation, short hospital stay and mild postoperative pain. Therefore, self-fixed patch is expected to be widely used in hernia repair.
【作者单位】：黔西南州人民医院普外科;
【分类号】：R656.2

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