摘要
目的比较轻量型平片与3D重量型补片在经腹腹膜前疝修补术(TAPP)中的应用效果。方法回顾性分析60例因腹股沟疝行TAPP术的患者临床资料。根据术中使用补片情况分为轻量型平片组(A组)和3D重量型组(B组),各30例。对比两组术中补片安放时间、首次离床活动时间、术后并发症及术后6个月疝复发情况等,采用视觉模拟评分(VAS)比较两组术后1、3、6个月的疼痛情况。结果两组补片安放时间及首次离床活动时间比较,差异均无统计学意义(P>0.05);两组的VAS评分均有随时间变化的趋势(P<0.05),且在术后第1个月A组患者的VAS评分低于B组(P<0.05),但分组与时间无交互作用(P>0.05);术后随访6个月,两组患者均未出现相关并发症及疝复发的情况。结论在TAPP术中应用轻量型平片可早期减轻患者术后疼痛。
Objective To compare the effects of lightweight versus three-dimensional（ 3 D） heavyweight mesh applied to transabdominal preperitoneal prosthesis（ TAPP） repair. Methods Sixty patients with inguinal hernia undergoing TAPP repair were enrolled and were divided into lightweight mesh group（ group A） and 3 D heavyweight mesh group（ group B） according to the usage of the mesh in the operation,with 30 cases in each group. The duration of mesh implantation,time for first ambulation,incidence of postoperative complications,and hernia relapse after six months of operation were recorded and were compared between the two groups. Visual Analogue Scale（ VAS） scores were compared between the two groups in the first,third and sixth month after operation. Results There was no significant difference in the duration of patch placement or time for first ambulation between the two groups（ P 〉 0. 05）. VAS scores changed over time in the two groups（ P 〈 0. 05）. The VAS scores in group A were lower than those in group B in the first month after operation（ P 〈 0. 05）,but no interaction was found between grouping and time（ P 〉 0. 05）. After six months of follow-up,no relevant complications or hernia relapse was observed in the two groups.Conclusion Lightweight mesh applied to TAPP repair could alleviate early postoperative pain.
出处
《广西医学》
CAS
2017年第11期1674-1676,1683,共4页
Guangxi Medical Journal
关键词
腹股沟疝
轻量型平片
3D重量型补片
经腹腹膜前疝修补术
术后疼痛
Inguinal hernia
Lightweight mesh
Three-dimensional heavyweight mesh
Transabdominal preperitoneal prosthesis repair
Postoperative pain
