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前路腹膜前补片修补术在治疗成人脐疝中的临床应用作者：张卫国吕建锋来源：《中国实用医药》2014年第23期【摘要】目的探讨总结善释D10聚丙烯补片修补术在治疗成人脐疝的应用价值。
方法对成人脐疝27例临床资料进行回顾性分析。
结果本组患者均治愈，手术时间50～80 min，患者术后疼痛轻，无切口感染，切口Ⅰ期愈合。
随访3～27个月，无复发病例，患者脐部无明显异物感，无术后慢性疼痛及补片感染等并发症。
结论前路腹膜前补片修补治疗成人脐疝是一种安全、可靠、有效的手术方式。
【关键词】脐疝；无张力疝修补术；人工合成材料【Abstract】 Objective To discuss the effect of Shanshi D10 polypropylene patch repair in adult umbilical hernia. Methods Retrospectively analyzed clinical date of 27 cases of adult umbilical hernia. Results All cases were healed during the stay in hospital， the operation time was 50～80 min. All patients had slight wound pain after operation， and there was no complications of infection. Results operative incision were primary healing， inquire for 3～27 months， no case had recurrence. There was no foreign body sensation in umbilical region. No case had the wound infection and the chronic pain after operation. Conclusion Anterior preperitoneal patch repair in adult umbilical hernia is a safe and credible operation method for adult umbilical hernia.【Key words】 Umbilical hernia； Tension-free hernia repair； Artificial synthetic material应用补片无张力修补术在成人腹股沟疝的治疗中获得良好的效果，对于成人脐疝的治疗，以往的传统折叠缝合的Mayo修补法，复发率较高。
自固定补片不同铺置方法在腹腔镜双侧腹股沟疝修补术中的应用杜一鸿;刘云莉;刘明杰【摘要】目的探讨不同修补材料和铺置方法对腹腔镜双侧腹股沟疝修补术疗效的影响.方法选取2013年9月~2016年1月期间我院确诊并行腹腔镜双侧腹股沟疝修补术患者180例,依据术中固定补片类型分为:聚丙烯组60例,采用常规聚丙烯补片修补;自固定组120例,予自固定补片修补,根据据铺置方法又分为改良组(n=60例)和常规组(n=60例),分别采用改良和常规方法铺置补片.采用视觉模拟评分法(VAS)评估疼痛程度,自制《腹腔镜双侧腹股沟疝修补术患者满意度问卷》评估患者满意度.随访12个月,记录并比较所有患者手术指标(铺片、手术、住院时间、术中出血量、住院费用)、术后并发症、疼痛及满意度.结果改良组和常规组患者铺片时间、手术时间、住院时间、术中出血量、住院费用以及术后1、7、15 d VAS评分均明显低于聚丙烯组,术后6个月和12个月患者满意率明显高于聚丙烯组,差异均有统计学意义(P<0.05).改良组患者铺片时间、手术时间、术中出血量明显低于常规组,差异均有统计学意义(P<0.05);而两组患者住院时间、费用、术后各期VAS 评分、术后并发症率和患者满意率比较,差异均无统计学意义(P>0.05).三组患者均无复发.结论腹腔镜双侧腹股沟疝修补术中应用自固定补片可有效缩短中操作时间,减小创伤,减轻术后疼痛,促进患者恢复,降低治疗费用,有利于提高患者满意度,且并不增加并发症和复发风险;术中通过改良补片铺置方法可进一步使补片展开更加快捷并减少患者术中创伤,值得临床推广.%Objective To discuss the effect of different patches and pavement methods in bilateral lapa-roscopic herniorrhaphy for inguinal hernia. Methods The clinical data of 180 cases with inguinal hernia per-formed bilateral laparoscopic herniorrhaphyinguinal from September 2013 to January 2016 in our hospital were analyzed retrospectively. According to fixed patch type,all cases were dived into two groups:The polypropyl-ene group (n=60)was repaired by conventional polypropylene patch,and the self-fixed group (n=120)was repaired by self-gripping patch. According to the pavement methods,the latter was divided into the improved group and the conventional group with 60 cases for each,and was carried out improved and regular pavement method during the surgery respectively. The visual analogue scale (VAS)was used to assess the degree of pain,and the satisfaction questionnaire of bilateral laparoscopic inguinal herniorrhaphy was used to assess the satisfaction of the patients. All cases were followed up for 12 months. The operative indexes as pavement time, operation time,hospital stays,intraoperative blood loss,hospitalization cost and postoperative complication rate,VAS score and satisfaction rate were recorded and compared. Results The pavement,surgery,hospi-talizationtime,intraoperative blood loss,hospitalization cost,and VAS score of 1-,7-,15 d after the surgery were significantly lower,and the satisfaction rate was obviously higher in the self-fixed group (including both improved group and conventional group)than those in the polypropylene group,and all the differences were sta-tistically (P<0. 05). The pavementtime,operative time and intraoperative blood loss of the improved group was remarkable lower in those of the conventional group (P<0. 05),but there was no statistical difference in hospital stays,cost,VAS score of different time point after the surgery,postoperative complication rate andsat-isfaction rate between two groups (P>0. 05). No recurrence was found in all cases. Conclusions The ap-plication of self-fixed patch can effectively shorten the operating time,decrease the trauma and postoperative pain,and then promote the patient's recovery,reduce the treatment costs,increase the patient's satisfaction rate for bilateral laparoscopic inguinal hernia repair without increasing the risk of complication and recurrence. Dur-ing the surgery,the improved patch pavement method can unfold the patch quickly and expediently,and is wor-thy of popularization.【期刊名称】《中国现代手术学杂志》【年(卷),期】2017(021)005【总页数】6页(P344-349)【关键词】腹腔镜检查;疝,腹股沟;疝修补术;补片【作者】杜一鸿;刘云莉;刘明杰【作者单位】西安长安医院普外科,陕西西安710016;扶风县中医院预防保健科,陕西扶风722200;西安长安医院普外科,陕西西安710016【正文语种】中文【中图分类】R656.21方法选取2013年9月～2016年1月期间我院确诊并行腹腔镜双侧腹股沟疝修补术患者180例，依据术中固定补片类型分为：聚丙烯组60例，采用常规聚丙烯补片修补；自固定组120例，予自固定补片修补，根据据铺置方法又分为改良组(n=60例)和常规组(n=60例)，分别采用改良和常规方法铺置补片。
