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轻量网片对于无张力疝修补术后慢性疼痛的影响(超普网片与传统聚丙烯网片的比较)
引用本文:张新,张林,谢加东,王荫龙.轻量网片对于无张力疝修补术后慢性疼痛的影响(超普网片与传统聚丙烯网片的比较)[J].中华疝和腹壁外科杂志(电子版),2010,4(4):1-3.
作者姓名:张新  张林  谢加东  王荫龙
作者单位:天津市人民医院疝和腹壁外科,300121
摘    要:目的比较轻量网片(UltraPro超普)和传统聚丙烯网片对疝修补术后慢性疼痛的影响。方法采用单盲法,对60例原发双侧腹股沟疝患者,实施Lichtenstein平片无张力疝修补术,一次性治疗双侧腹股沟疝,术中随机选取超普网片与聚丙烯网片分别植入患者双侧腹股沟区。在术后1、3、6、12个月进行随访,对比两侧腹股沟区的疼痛感。结果相对于传统聚丙烯网片,超普网片在术后3个月和6个月时慢性疼痛的发生率低,疼痛的程度更轻。结论超普网片可以减轻短期内(1年内)的慢性疼痛感,从而改善患者生活质量。

关 键 词:  腹股沟  疝修补手术  慢性疼痛

The effect of lightweight mesh on chronic pain after tension-free hernioplasty:the comparison of Ultrapro with traditional Prolene mesh
Authors:ZHANG Xin  ZHANG Lin  XIE Jia-dong  WANG Ying-long
Institution:ZHANG Xin,ZHANG Lin,XIE Jia-dong,WANG Ying-long.(Department of Abdominal wall Hernia Surgery Tianjin People's Hospital,Tianjin 300121,China )
Abstract:Objective To investigate the influence of lightweight mesh(ultrapro) compared with heavyweight mesh(prolene) on the chronic pain after tension-free hernioplasty.Methods It was a prospective randomized single-blind study.a total of 60 bilateral inguinal hernia patients were underwent tension-free hernioplasty of Lichtenstein procedure.Ultrapro and Prolene mesh are randomised implanted into each side of every patient.The patients are followed up at 1 month,3 month,6 month,and 12 month after operation to compare chronic pain of each side.Results Compared with the conven tional polypropylene mesh,ultrapro mesh may cause lower rate and extension of chronic pain at 3 and 6 month after operation.Conclusions Ultrapro can alleviate chronic pain within 1 year after operation so as to improve the quality of life.
Keywords:Hernia  inguinal  Herniorrhaphy  Chronic pain
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