小肠黏膜下层材料在青少年（14-18岁）腹股沟疝修补术中应用的初步探讨

目的　探讨小肠黏膜下层材料生物补片在14~18岁青少年腹股沟疝患者治疗中的应用价值。方法　采用前瞻性研究方法，将入组的47例患者分为2组：对照组与治疗组。治疗组使用小肠黏膜下层材料行腹股沟疝平片无张力修补术，对照组采用传统的疝囊高位结扎术治疗。观察并分析术后并发症及复发情况。结果　治疗组平均手术时间51.6±12.7min，高于对照组的38.2±7.5min（P<0.05），治疗组平均住院时间3.4±1.1d，低于对照组5.1±1.3d（P<0.05）。术中出血量14.4±6.5mL，与对照组13.0±5.9mL比较,无统计学差异（P>0.05）。在术后的并发症的发生情况、复发率、术后疼痛评分上，两组无明显差异。结论　对于14~18岁的青少年腹股沟疝患者，使用小肠黏膜下层材料行无张力疝修补术效果良好，能够缩短住院时间，不会增加术后的疼痛不适与并发症的发生率，安全有效。

Application of small intestinal submucosa mesh for inguinal hernia repair in adolescent patients aged from 14 to 18 years

Objective To evaluate the efficacy of hernioplasty using small intestinal submucosa mesh to repair inguinal hernia in adolescent patients aged from 14 to 18 years. Methods Forty-seven cases of adolescent patients were divided into two groups, the treatment group and the control group. The patients in treatment group were treated with small intestinal submucosa mesh, while the patients in control group underent high ligation of hernia sac. The operation time, the amount of bleeding, the time of hospitalization, postoperative complications and recurrence were observed and analyzed. Results The average operative time in the treatment group（51.6 ± 12.7 min）was higher than that in the control group （38.2 ± 7.5 min）（P<0.05）, and the average hospitalization time（3.4 ± 1.1 d）was lower than that in the control group（5.1±1.3 d）（P<0.05）. There was no significant difference in the amount of bleeding between the treatment group（14.4±6.5）ml and the control group（13±5.9）ml（P>0.05）. There were no significant differences in the incidence of postoperative complications, recurrence rate and postoperative pain score between two groups. Conclusion For adolescent patients with inguinal hernia aged from 14 to 18 years, the use of small intestinal submucosal mesh for tension-free hernia repair is effective, which could shorten the length of hospital stay, and would not increase the incidence of postoperative pain and complications.