标题：双层补片腹膜前修补治疗腹股沟滑疝的效果观察

      作者：张志云，雷新益，吉祖进
    (湖北医药学院附属东风总医院结直肠肛门外科，湖北 十堰 442008)

      卷次： 2015年26卷10期

      【摘要】 目的 探讨采用善愈双层补片腹膜前修补治疗腹股沟滑疝的临床效果。方法 回顾性分析2010
年3月至2013年3月我院结直肠肛门外科收治的48例腹股沟滑疝患者的临床资料，根据手术方式分为传统组(22
例，采用传统疝修补手术)、双层补片组(26例，采用善愈腹膜前双层补片腹膜前修补手术)，比较两组患者的术中
术后情况。结果 双层补片组手术时间为（23.7±5.2）min、VAS评分为(0.86±32)分、术后使用镇痛剂率为
11.54%、术后下床活动时间为(16.8±5.1) h、术后恢复工作时间为(35.5±8.3) d，均显著低于传统手术组(P<0.05)；两
组患者的住院时间、术后1年复发率比较差异均无统计学意义(P>0.05)。传统组术后共出现并发症9例(40.91%)，
显著高于双层补片组的2例(7.69%) (χ2=7.443，P=0.006)。结论 善愈双层补片腹膜前修补治疗腹股沟滑疝较传
统手术治疗具有手术时间短、恢复较快、术后并发症少等优点。

      【关键词】 善愈双层补片；腹膜前修补；腹股沟滑疝；临床效果

      【中图分类号】 R656.2+1 【文献标识码】 A 【文章编号】 1003—6350（2015）10—1508—03


Clinical effect of preperitoneal hernioplasty with Shanyu bilayer mesh in sliding inguinal hernia repair.
ZHANG
Zhi-yun, LEI Xin-yi, JI Zu-jin. Department of Colorectal Surgery, Dongfeng General Hospital Affiliated to Hubei
Medical University, Shiyan 442008, Hubei, CHINA

【Abstract】 Objective To investigate the clinical effect of preperitoneal hernioplasty with Shanyu bilayer
mesh in the treatment of sliding inguinal hernia. Methods The clinical data of 48 patients of sliding inguinal hernia
in our hospital from March 2010 to March 2013 were retrospectively analyzed. According to the operation mode, the
patients were divided into traditional group (22 cases, using traditional preperitoneal hernioplasty for hernia repair), bi-
layer mesh group (26 cases, applying preperitoneal hernioplasty with Shanyu bilayer mesh). The intraoperative and
postoperative situations were compared between the two groups. Results The operation time, VAS score, rate of
postoperative use of analgesics, postoperative ambulation time, postoperative recovery time were (23.7 ± 5.2) min,
(0.86±32), 11.54%, (16.8±5.1) h, (35.5±8.3) d in bilayer mesh group, respectively, significantly lower than those of
traditional group (P<0.05). The two groups showed no statistically significant difference in the length of hospital stay,
postoperative recurrence rate in one year (P>0.05). There were 9 cases (40.91%) of complications in traditional group
and 2 cases (7.69%) of complications in bilayer mash group, with statistically significant difference between the two
groups (χ2=7.443, P=0.006). Conclusion Reperitoneal hernioplasty with Shanyu bilayer mesh is advantageous over
traditional hernioplasty in inguinal hernia repair, with shorter operation time, rapid postoperative recovery and fewer
complications.

      【Key words】 Shanyu bilayer mesh; Preperitoneal hernioplasty; Sliding inguinal hernia; Clinical effect
基金项目：湖北省自然科学基金(编号:2012CDB07802)