中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (16): 2995-2998.doi: 10.3969/j.issn.1673-8225.2010.16.036

• 生物材料学术探讨 biomaterial academic discussion • 上一篇    下一篇

聚丙烯修补材料在腹股沟疝治疗中的应用

糜英华，刘  英，王  相   

  1. 廊坊市人民医院普通外科，河北省廊坊市  065000
  • 出版日期:2010-04-16 发布日期:2010-04-16
  • 作者简介:糜英华，男，1971年生，江苏省无锡市人，汉族，1997年承德医学院毕业，主治医师，主要从事普通外科、异体植入物、创面修复。

Application of polypropylene repair material in treating inguinal hernia

Mi Ying-hua, Liu Ying, Wang Xiang   

  1. Department of General Surgery, Langfang People’s Hospital, Langfang 065000, Hebei Province, China
  • Online:2010-04-16 Published:2010-04-16
  • About author:Mi Ying-hua, Attending Physician, Department of General Surgery, Langfang People’s Hospital, Langfang 065000, Hebei Province, China

PDF

492

被引次数

18

摘要：

目的：总结近年聚丙烯材料在腹股沟疝治疗中的应用现状。
方法：由作者应用计算机检索维普数据库中与聚丙烯修补材料治疗腹股沟疝有关的文章，检索时限1998-01/2009-10。检索关键词：聚丙烯；腹股沟疝；并发症。纳入标准：①聚丙烯修补材料治疗腹股沟疝的文章。②实验结果叙述与材料有关的并发症问题。排除标准：重复研究或较陈旧文献。根据纳入排除标准共保留相关文献17篇。
结果：20世纪50年代末，利用有机高分子材料进行疝修补的技术开始应用于临床。聚丙烯补片由聚丙烯单纤维或多股纤维编织而成，为单层网状结构，是目前首选的腹壁缺损修补材料。与其他不吸收材料相比，具有以下优点：刺激纤维组织增生作用明显；其网眼结构易被纤维组织生长穿过，能够早期嵌合于组织之中；植入后能保持较高的抗张强度；价格相对低。修补后出现的与材料有关的并发症较少，主要有感染、浆液肿、肠粘连、肠漏和材料移位、材料皱缩等。
结论：聚丙烯修补材料组织相容性好，无排异反应，具有一定的抗感染能力，是理想的疝修补材料。用其修补操作简便，损伤小，恢复快，并发症少。

关键词: 聚丙烯材料, 疝环填充式无张力疝修补, 老年, 腹股沟疝, 生物材料

Abstract:

OBJECTIVE: To summarize the application of polypropylene repair material in treating inguinal hernia.
METHODS: Papers regarding polypropylene repair material in treating inguinal hernia published in VIP data between January 1998 and October 2009 were researched using key words of “polypropylene, inguinal hernia, and complication”. Inclusion criteria: Repairing inguinal hernia using polypropylene materials. Experimental results concerning related complications. Exclusion criteria: repetitive study and relatively old literature. A total of 17 documents were included in this study.
RESULTS: Organic polymeric materials were clinical utilized in repairing inguinal hernia at the end of 1950s. The polypropylene patch was knitted by single fiber or multi-strands fibers of polypropylene, and exhibited single layer network structures, which is preferred material for repairing abdominal-wall defect. Compared with other unabsorble materials, the polypropylene patch had following advantage: obviously stimulating fibroplasias; easy permeated by fibrous tissues and embedded into tissues; maintaining highly tensile strength following implantation; and relative low cost. Few material-related complications occurred following repairing, mainly presented with infection, serofluid swelling, ankylenteron, intestinal leakage, material displacement, as well as material shrinkage. 
CONCLUSION: Polypropylene material is an ideal repair material due to good histocompatibility, few rejections, and anti-infection capability. It leads to easy operation, small trauma, fast recovery and few complications in repairing defects.

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