轻量型和普通聚丙烯补片在腹股沟疝修补术中的对照研究

目的：比较使用普通聚丙烯补片f普理灵）和轻量型聚丙烯补片（薇普Ⅱ）进行腹股沟疝修补术后的疗效。方法：2006年10月至2008年3月间，我院对609例腹股沟疝病人，行Lichtenstein修补术，病人分成2组，一组使用普理灵补片，另一组使用薇普Ⅱ补片。比较两组平均手术时间、术后炎症反应程度、并发症及恢复工作的时间，并根据SF-36对病人术前和术后6个月内的生活质量进行评估。使用疼痛的数字评分法（NRS）对术后第2天和6个月的疼痛情况进行评分．以此判断术后6个月腹股沟区是否仍有异物感。结果：与普理灵补片相比，使用薇普Ⅱ补片可减轻术后导致的腹壁活动受限，炎性反应和纤维组织的生成也减低；术后6个月运动时疼痛的比例也降低（P〈0．05）；腹股沟区有异物感的病人较少。结论：腹股沟疝行Lichtenstein修补术中更适宜使用轻量型聚丙烯补片。

Controlled study in inguinal hernia repair of lightweight polypropylene mesh and the ordinary polypropylene mesh

Objective To compare the postoperative effect of using of the ordinary polypropylene mesh （prolene） and lightweight polypropylene mesh （vypro-Ⅱ） in inguinal hernia repair. Methods From October 2006 to March 2008, 609 cases of inguinal hernia were randomly divided into 2 groups; the 1st group used the prolene mesh for repair, the other group used the vypro-Ⅱ mesh. The average operation time, the degree of postoperative inflammatory response,complications and recovery time, were compared between the two groups; and SF-36 was employed to assess the quality of life of the patients both preoperatively and 6 months postoperatively. The numeric rating scale （NRS） was used to compare postoperative pain in Day 2 postoperative and 6 months postoperative whether there is still a foreign body sensation in the groin area. Results Compared with the prolene mesh group ,the vypro-Ⅱ mesh group was significantly reduced in the degree of postoperative abdominal wall activity limitation, inflammatory reaction, fibrous tissue formation; and the degree of postoperative pain （P〈0.05）; when performing exercises 6 months postoperatively, fewer patients had foreign body sensation in the groin area. Conclusions It is more suitable to use the lightweight polypropylene mesh in Lichtenstein inguinal hernia repair.