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-  2017 

ProGrip 自固定补片与聚丙烯补片修补切口疝的疗效比较

DOI: doi:10.7507/1002-1892.201611040

Keywords: 切口疝, 肌后修补术, ProGrip 自固定补片, 聚丙烯补片

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Abstract:

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(P>0.05),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(P<0.05)。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

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