背景:本研究的目的是探讨D10网片的新型小型开放式皮下疝修补术治疗原发性腰椎疝的安全性和有效性。
方法:本回顾性研究纳入2015年1月至2022年1月在我院行D10网小开放下疝修补术的48例原发性腰疝患者。观察指标为术中测量疝环缺损直径,操作时间,住院时间,术后随访,并发症,术后视觉模拟量表(VAS)评分,慢性疼痛。
结果:48例手术均顺利完成。疝环平均直径为2.66±0.57cm(范围1.5-3.0cm),平均手术时间为41.54±13.21分钟(范围25-70分钟),术中出血量为9.89±6.16ml(范围5-30ml),平均住院时间为3.14±1.53天(范围1-6天)。术前和术后24h的平均VAS评分分别为0.29±0.53(范围0-2)和2.52±0.61(范围2-6),分别。所有病例随访53.4±24.3个月(12~96个月),无血清肿,血肿,切口或网状物感染,复发,和明显的慢性疼痛。
结论:用D10网片治疗原发性腰椎疝是安全可行的。它的短期疗效是有利的。
The aim of this study was to explore the safety and efficacy of a novel mini-open sublay hernioplasty with D10 mesh for primary lumbar hernias.
This retrospective study included 48 patients with primary lumbar hernias who underwent mini-open sublay hernioplasty with D10 mesh from January 2015 to January 2022 in our hospital. Observation indicators were intraoperative measured diameter of hernia ring defect, operation time, length of hospital stay, postoperative follow-up, complications, postoperative visual analog scale (VAS) score, chronic pain.
The operations were completed successfully in all 48 cases. The mean diameter of hernia ring was 2.66 ± 0.57 cm (range 1.5-3.0 cm), the mean operation time was 41.54 ± 13.21 min (range 25-70 min), the intraoperative blood loss was 9.89 ± 6.16 ml (range 5-30 ml), and the mean hospital stay was 3.14 ± 1.53 days (range 1-6 days). The mean preoperative and postoperative VAS scores at 24 h were 0.29 ± 0.53 (range 0-2) and 2.52 ± 0.61 (range 2-6), respectively. All cases were followed-up for 53.4 ± 24.3 months (range 12-96 months) without seroma, hematoma, incision or mesh infection, recurrence, and obvious chronic pain.
A novel mini-open sublay hernioplasty with D10 mesh for primary lumbar hernias is safe and feasible. Its efficacy in the short term is favorable.