医学研究与教育 ›› 2019, Vol. 36 ›› Issue (6): 32-36.DOI: 10.3969/j.issn.1674-490X.2019.06.006

• 临床医学 • 上一篇    下一篇

引流技术在生物补片中的临床应用价值

刘岩1,左彦波1,哈思宁2,刘立涛2,靳小石2   

  1. 1.河北大学医学院, 河北 保定 071000;
    2.河北大学附属医院, 河北 保定 071000
  • 收稿日期:2019-04-18 出版日期:2019-12-25 发布日期:2019-12-25
  • 通讯作者: 靳小石(1973—),男,河北保定人,主任医师,博士,硕士生导师,主要从事胃肠、甲状腺、疝研究。E-mail: doctorjinxiaoshi@126.com
  • 作者简介:刘岩(1991—),男,河北邢台人,在读硕士,主要从事基本外科研究。 E-mail: doctorliuyan1221@163.com
  • 基金资助:
    2017年政府资助临床医学优秀人才培养和基础课题研究项目(2017043569)

  • Received:2019-04-18 Online:2019-12-25 Published:2019-12-25

摘要: 目的 通过在脱细胞组织基质材料生物补片临床应用中运用引流技术与否的对比研究,探讨引流技术的可靠性和必要性。方法 将43例腹股沟疝患者分为2组,均应用Biodesign Surgisis(SIS)生物补片行腹股沟疝修补术,实验组21例运用引流技术,对照组22例不运用引流技术,对2组患者术后指标及血清肿、术后感染、慢性疼痛等并发症发生情况进行统计学分析。结果 经统计学观察对比,运用引流装置与不运用引流装置患者在术后血清肿方面差异有统计学意义(P<0.05)。在术后各项指标及术后感染、术后慢性疼痛、术后异物感、术后复发等方面差异无统计学意义(P>0.05)。结论 应用引流装置可以减少脱细胞组织基质材料生物补片在腹股沟疝修补术后血清肿不良事件的发生。

关键词: 生物补片, 血清肿, 无张力疝修补术, 引流装置

Abstract: Objective The reliability and necessity of the drainage technique were discussed by comparing the application of drainage technique in the clinical application of acellular matrix material biological mesh. Methods Forty-three patients with inguinal hernia were divided into two groups, all of whom were treated with Biodesign Surgisis(SIS)biological mesh for inguinal hernia repair. Twenty-one patients in the experimental group were treated with drainage technology, while 22 patients in the control group were not treated with drainage technology. The postoperative indicators and complications such as seroma, postoperative infection and chronic pain in the two groups were statistically analyzed. Results After statistical observation and comparison, there was a significant difference in postoperative seroma between patients with and without drainage devices(P<0.05). There was no significant difference in postoperative indicators, postoperative infection, postoperative chronic pain, postoperative foreign body sensation, postoperative recurrence, etc.(P>0.05). Conclusion The application of drainage device can reduce the occurrence of adverse events of seroma after the repair of inguinal hernia with acellular matrix material biological mesh.

Key words: biological patch, seroma, tension-free herniorrhaphy, the drainage device

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