CAJ | 학술논문

目的：观察总结一种修补材料在临床中的使用效果。方法将疝修补术患者100例根据治疗方法不同分为对照组与治疗组各50例。对照组采用普通平片无张力修补术治疗，治疗组采用3D聚丙烯补片无张力修补术治疗。结果两组患者在手术方法完全无差别，手术用时与术后在院时间均无统计学意义，与对照组相比，治疗组中患者术后出现术后感染、脂肪液化、排尿困难等相关衍生病的情况低于对照组（P＜0.05）。12个月后随访，治疗组出现不适、术后后遗神经痛、感觉异常的发生率为2.0%，小于对照组的10%，两组对比差异具有统计学意义（P＜0.05）。结论3DMax补片在疝修补术中的临床应用能降低刀口感染、脂肪液、尿潴留等并发症，能减轻术后慢性疼痛、不适、异物感。
목적：관찰총결일충수보재료재림상중적사용효과。방법장산수보술환자100례근거치료방법불동분위대조조여치료조각50례。대조조채용보통평편무장력수보술치료，치료조채용3D취병희보편무장력수보술치료。결과량조환자재수술방법완전무차별，수술용시여술후재원시간균무통계학의의，여대조조상비，치료조중환자술후출현술후감염、지방액화、배뇨곤난등상관연생병적정황저우대조조（P＜0.05）。12개월후수방，치료조출현불괄、술후후유신경통、감각이상적발생솔위2.0%，소우대조조적10%，량조대비차이구유통계학의의（P＜0.05）。결론3DMax보편재산수보술중적림상응용능강저도구감염、지방액、뇨저류등병발증，능감경술후만성동통、불괄、이물감。
Objective An observation summary patching material effect in clinical application. Methods The hernia repair different 100 patients divided into treatment and control groups based on the treatment, 50 patients. The control group using ordinary plain iflm tension-free repair, the treatment group using 3D polypropylene mesh tension-free repair treatment. Results No difference in the two groups of patients with complete surgical methods, under the operating time and hospital stay were no significant differences in the comparison condition, incision infection and fat liquefaction, urinary retention incidence of complications of the treatment group than the control group (P<0.05). After 12 months of follow-up, pain, discomfort, foreign body sensation in the treatment group, the incidence of 2.0%, occurred in the control group was 23.0%. Comparative statistically significant difference between groups (P<0.05). Conclusion Clinical application 3DMax patch hernia repair can reduce incision infection, liquid fat, urinary retention and other complications, can reduce postoperative chronic pain, discomfort, foreign body sensation, should promote clinical application.