ProGrip自固定补片与聚丙烯补片修补切口疝的疗效比较

发布时间：2018-12-26 10:39

【摘要】：目的比较ProGrip自固定补片和聚丙烯补片肌后修补切口疝的疗效。方法回顾分析2012年5月—2016年5月收治的83例切口疝患者临床资料,其中46例采用ProGrip自固定补片肌后修补(Sublay技术)切口疝(自固定组),37例应用聚丙烯补片肌后修补切口疝(对照组)。两组患者性别、年龄、体质量指数、切口疝类型、疝环直径、病程、合并疾病等一般资料比较,差异均无统计学意义(P0.05),具有可比性。记录并比较两组手术时间、住院时间以及术后疼痛视觉模拟评分(VAS)。结果自固定组手术时间、住院时间均较对照组显著缩短,比较差异有统计学意义(t=2.977,P=0.004;t=2.270,P=0.026)。两组切口均Ⅰ期愈合,均未发生血清肿及补片感染。术后24 h、7 d、30 d时自固定组VAS评分均显著低于对照组,比较差异有统计学意义(P0.05)。自固定组43例患者获随访,随访时间5~53个月,平均25.8个月;对照组33例患者获随访,随访时间7~54个月,平均27.4个月。随访期间两组均未发现慢性疼痛及疝复发。结论 ProGrip自固定补片肌后修补切口疝安全可行,与聚丙烯补片相比,可以缩短手术及住院时间、减少术后疼痛。
[Abstract]:Objective to compare the effect of repair of incisional hernia with ProGrip self-fixed patch and polypropylene patch. Methods the clinical data of 83 patients with incisional hernia admitted from May 2012 to May 2016 were retrospectively analyzed. 46 cases were treated with ProGrip self-fixation repair (Sublay). 37 cases were treated with posterior repair of incisional hernia with polypropylene patch (control group). Gender, age, body mass index, incisional hernia type, herniation ring diameter, course of disease, combined diseases and other general data were not significantly different between the two groups (P0.05). The time of operation, length of stay and postoperative pain visual analogue score (VAS).) were recorded and compared between the two groups. Results the operation time and hospitalization time in the self-fixation group were significantly shorter than those in the control group, and the difference was statistically significant (t = 2.977N, P = 0.004, P = 2.270, P = 0.026). The incisions of both groups were healed in the first stage, and no serum swelling or patch infection occurred. The VAS score of the self-fixed group was significantly lower than that of the control group at 24 hours and 30 days after operation (P0.05). 43 patients in the self-fixation group were followed up for 5 ~ 53 months with an average of 25.8 months, while 33 patients in the control group were followed up for 7 ~ 54 months with an average of 27.4 months. During the follow-up, no chronic pain or hernia recurrence was found in both groups. Conclusion it is safe and feasible to repair incisional hernia with ProGrip self-fixation. Compared with polypropylene patch, it can shorten the operation and hospital stay and reduce postoperative pain.
【作者单位】：中国人民解放军总医院第一附属医院普外科;
【分类号】：R656.2

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