中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (25): 4743-4746.doi: 10.3969/j.issn.1673-8225.2011.25.045

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    下一篇

脱细胞真皮基质修补腹股沟疝

刘飞德，李基业，姚  胜，王世斌，朱瑛梅   

  1. 解放军总医院第一附属医院普通外科疝和腹壁外科中心，北京市   100048
  • 收稿日期:2010-12-07 修回日期:2011-02-28 出版日期:2011-06-18 发布日期:2014-01-10
  • 作者简介:刘飞德★，男，1977年生，内蒙古自治区临河市人，汉族，2004年解放军军医进修学院毕业，硕士，主治医师，主要从事疝和腹壁外科研究。 feide301@yahoo.com.cn

Inguinal hernia repair using human acellular dermal matrix

Liu Fei-de, Li Ji-ye, Yao Sheng, Wang Shi-bin, Zhu Ying-mei   

  1. Department of General Surgery, the First Affiliated Hospital, General Hospital of PLA, Beijing  100048, China
  • Received:2010-12-07 Revised:2011-02-28 Online:2011-06-18 Published:2014-01-10
  • About author:Liu Fei-de★, Master, Attending physician, Department of General Surgery, the First Affiliated Hospital, General Hospital of PLA, Beijing 100048, China Feide301@yahoo.com.cn

PDF

338

被引次数

28

摘要：

背景：当前应用聚丙烯补片行腹股沟疝无张力修补已成为腹股沟疝修补的标准手段，但这些材料可能对患者生殖功能产生影响。
目的：总结应用脱细胞真皮基质修补腹股沟疝的经验。
方法：回顾性分析19例应用异体脱细胞真皮基质修补腹股沟疝患者的临床资料，男15例，女4例，年龄5~38岁。术后观察切口愈合情况，并定期随访。
结果与结论：19例患者伤口均Ⅰ期愈合，无切口感染、皮下积液等并发症。18例患者获得随访，随访3~30个月，无局部疼痛、牵拉等不适感，无复发病例。提示脱细胞真皮基质材料为未成年人、尚未婚育及有生育要求的男性腹股沟疝患者的治疗提供一种新的选择。

关键词: 生物补片, 脱细胞真皮基质, 未成年人, 腹股沟疝, 无张力疝修补

Abstract:

BACKGROUND: Tension-free repair using polypropylene mesh is the standard technique for inguinal hernia repair at the present, but the prosthetic material maybe has harmful impact on the patient reproductive functions. 
OBJECTIVE: To summarize the experience and evaluate the clinical effect of human acellular dermal matrix in inguinal hernia repair.
METHODS: Nineteen patients aged 5-38 years with inguinal hernia underwent hernia repair using human acelluar demall matrix. Of the patients, there were 15 male and 4 female. The wound healing was observed and regular follow-up was conducted.
RESULTS AND CONCLUSION: Of the 19 patients, all patients recovered with primary wound healing without infection of incisional wound or seroma. Eighteen patients were followed up. During a follow-up of 3-30 months, no chronic pain or discomfort at the incisional area or hernia recurrence occurred. It is feasible and safe to use human acellular dermal matrix patch in inguinal hernia repair, especially in young people or man with inguinal hernia willing to procreate.

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