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关键词：疝；腹股沟；腹壁；外科学
摘 要：目的 了解目前高分子材料疝修补在临床中的应用现状。方法 采用文献回顾的方法对高分子材料疝修补的应用进展加以综述。结果 目前，高分子材料疝修补已发展出多种方法，具代表性术式有： ①Rives-Stoppa腹膜前铺网法； ②Lichtenstein无张力腹股沟疝修补术； ③网片充填修补术 ； ④Gilbert无缝合疝修补术； ⑤腹腔镜腹股沟疝修补术。人工高分子修补材料主要有可吸收和不可吸收两大类，前者有聚羟基乙酸和聚乳酸羟基乙酸两种，后者有聚丙烯网、膨体聚四氟乙烯片及聚酯纤维网。结论 高分子材料疝修补在临床中的应用正逐渐增加。根据疝的类型及具体情况，选择不同的修补方法和修补材料，可获得最佳疗效。
分类号： R656.2； R318.08 文献标识码： A
文章编号： 1007-9424(2000)01-0059-03
ADVANCES IN CLINICAL APPLICATION OF HERNIOPLASTY BY HIGH MOLECULAR MATERIAL
PU Qing-hua,SHI De
(Department of Surgery,The First Affiliated Hospital,Chongqing Medical University,Chongqing 400016)
Abstract ： Objective To study the advances in clinical application of hernioplasty by high molecular material.Methods The literature in the recent years on the advances of hernioplasty by high molecular material was reviewed.Results At present time many operative techniques of hernioplasty by high molecular material have been developed.The representative techniques were ① Rives-Stoppa ′ s mesh inlay hernioplasty; ② Lichtenstein ′ s tesion-free herniorrhaphy; ③ mesh plug hernioplasty; ④ Gilbert ′ s sutureless hernioplasty; ⑤ laparoscopic inguinal hernioplasty.The reparing high molecular material was divided into absorbable and unabsorbable material,the former included polyglycolic-acid and polyglaction,the later consists of polypropylene polyester and expanded polytetrafluoroethylene.Conclusion The clinical application of henioplasty by high molecular material is increasing.According to the hernia type and patient condition,excellent outcome will be achieved by the application of proper repairing method and repair material.
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