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双语推荐：修补片

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介绍了用于治疗疝气的修补网片的结构与性能要求,对修补网片的材料和结构进行了设计,比较了不同原材料的优缺点,有针对性地进行选材设计。以聚丙烯经编修补网片为例,介绍了经编修补网片的生产及后整理工艺,提出了生产及整理技术要点。
The structures and property requirements of warp knitting hernia mesh were introduced , and the new type materials and structures were designed .The advantages and disadvantages of different raw materials were compared, and makes a targeted selection and design .Take the polypropylene hernia mesh , for example, the manufacturing technique and finishing technology of warp knitting hernia mesh were introduced.The production and finishing techniques for warp knitted hernia repair mesh were pointed out .

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分析研究平片式修补与疝环充填式修补在无张力疝修补术中的应用疗效。方法:2009年1月-2013年12月收治无张力疝修补术患者38例,作为研究对象,根据手术方法的不同将其分为平片式修补组和疝环充填式修补组,各19例。对比两组手术、下床活动、住院时间以及术后并发症情况。结果:疝环充填式修补术组手术时间、下床活动时间、住院时间以及术后并发症均明显低于平片式修补术组,差异具有统计学意义(P0.05)。结论:疝环充填式修补手术时间短、患者康复快、对患者创伤小、术后并发症少,实施安全、可靠,值得推广应用。
Objective:To analyze and study the application effects of flat sheet type repair and hernia ring filling type repair in tension-free hernioplasty.Methods:38 cases with tension-free hernioplasty were selected from January 2009 to December 2013. They were as the research objects.According to the different operation methods,they were divided into the flat sheet type repair group and the hernia ring filling type repair group with 19 cases in each.The operation,out-of-bed activity,hospitalization time and postoperative complication of the two groups were compared.Results:The operation,out-of-bed activity,hospitalization time and postoperative complication of the hernia ring filling type repair group were significantly lower than those of flat sheet type repair group.The difference was statistically significant(P<0.05).Conclusion:The hernia ring filling type repair has short operation time,quick recover of patients,small trauma and less postoperative complications.Its implementation is safe

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为优化树脂基复合材料修补片固化工艺参数,采用有限元分析方法,建立了复合材料层合板修补片热固化过程的物理模型和数学模型,基于这些模型对复合材料预浸料修补片固化过程中温度和固化度的变化规律进行了数值模拟,分析了不同固化阶段预浸料修补片内部的温度分布,对比了修补片内部不同点的固化过程;研究了升温速率、补片厚度和补片形状等因素对补片固化过程中温度和固化度的影响.仿真计算结果表明：升温速率越快,固化完成时间越短,但修补片内温度梯度越大;补片越厚,固化完成时间越短,且补片内部温度梯度越小;非穿透性挖补修理的补片形状对补片固化过程中温度和固化度的影响可忽略.
In order to optimize the curing parameter of resin matrix composite patches,a physical model and a mathematical model for composite laminate patches during thermal curing process were established by finite element method. Based on these models,numerical simulations were made to study the variation rules of temperature and curing degree during the curing process of the composite prepreg patches. The internal temperature distributions in prepreg repair patches were analyzed for different curing stages,and the curing processes at different points inside the patches were compared. The influences of heating rate,the patch thickness,and patch shape on the temperature and curing degree during curing process were also studied. The simulation results show that a faster heating rate can shorten the time for completing the curing process,and result in a higher temperature gradient within the patch;a more thick patch needs a shorter curing time and has a lower internal temperature gradie

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目的探讨网塞加平片无张力疝修补术在腹股沟疝中的临床应用。方法回顾性分析我院2009年1月至2013年5月276例腹股沟疝无张力修补临床资料,全部采用网塞加平片无张力修补术。结果 276例全部治愈,4~7 d出院。结论网塞加平片行无张力修补术治疗腹股沟疝疗效良好,操作简易、创伤小、恢复快、无显著并发症。
Objective To investigate the net plug flat piece of clinical application of tension-free hernioplasty in inguinal hernia. Methods Retrospective analysis of our hospital from 2009 January to 2013 May 276 cases of inguinal hernia without tension repair all clinical data, all adopt network plug and plain film for tension free hernioplasty. Results 276 cases were all cured, 4-7 days after discharge. Conclusion Mesh plug tension free repair effect of plain film inguinal hernia treated good, simple operation, small trauma, quick recovery, no significant complications.

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目的系统评价合成网片用于盆腔器官脱垂修补手术和阴道修补术的有效性和安全性。方法检索Pub Med(1980~2013年)、Cochrane图书馆(1995~2013年)、Google Scholar(1980~2013年)、中国期刊网全文数据库(1980~2013年)、中国生物医学文献数据库(1980~2013年),纳入合成网片修补术和传统阴道修补术2种治疗方法的随机对照研究,并应用Rev Man5.0软件进行统计分析。结果纳入10项随机对照试验,meta分析结果显示:合成网片组手术时间明显长于传统阴道修补组(WMD:16.57 min,95%CI:14.06~19.08 min,P0.00001),术中出血量明显多于传统阴道修补组(WMD:24.98 ml,95%CI:7.13~42.84 ml,P=0.006),客观治愈率明显高于传统阴道修补组(OR:4.16,95%CI:3.10~5.58,P0.00001),主观治愈率明显高于传统阴道修补组(OR:2.13,95%CI:1.55~2.91,P0.00001),性交困难发生率明显低于传统阴道修补组(P=0.04),术后再发尿失禁、术后再次手术率无统计学差异(P=0.13,P=0.06)。结论与传统阴道修补术相比,合成网片提高主、客观治愈率,提示合成网片应用于治疗盆腔器官脱垂有效,但仍需高质量前瞻性研究进一步证实。
Objective To review systemically the effectiveness and safety of mesh versus traditional colporrhaphy for pelvic organ prolapse . Methods The literature were retrieved from the PubMed ( 1980 -2013 ) , Cochrane ( 1995 -2013 ) , Google Scholar (1980-2013), CNKI (1980-2013), and SinoMed (1980-2013).The randomized controlled trials (RCT) were collected and compared, and the data were analyzed by using the RevMan 5.0 software. Results There were totally 10 randomized controlled trials collected .Meta-analysis showed that:the operation time was significantly longer in the mesh group than that in the colporrhaphy group [WMD:16.57 min, 95%CI:14.06-19.08 min, P<0.00001]; the intraoperative blood loss was significantly more in the mesh group than that in the colporrhaphy group [ WMD: 24.98 ml, 95%CI:7.13 -42.84 ml, P=0.006]; the mesh group was superior to colporrhaphy group in the increase of objective cure rate [OR:4.16, 95%CI:3.10-5.58,P<0.00001] and subjective cure rate [OR:2.13, 95

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医源性血管损伤相对比较常见，多见于邻近血管区域的各类手术，而在以往传统的（有张力）腹股沟疝修补术中，血管损伤的发生比较少见。近年来随着无张力疝修补术的普及，网片修补材料的应用，尤其是应用网片的腹膜前间隙疝修补术，时有血管损伤的发生，严重者导致死亡。避免血管损伤需要术者熟悉腹股沟区血管解剖，正确掌握各种腹股沟疝修补术式及网片应用，一旦手术导致血管损伤等并发症，及时分析原因并正确处理，均能将腹股沟疝手术中医源性血管损伤的危害降到最低。
Iatrogenic vascular injury is relatively common in clinic and it usually happens nearby blood vessels area. In the past,the occurrence of iatrogenic vascular injury in the traditional (tension) inguinal hernia repair operation is rare. But in recent,with the popularity of tension free hernia repair with the mesh repair material,especially in the preperitoneal repair,the vascular injury is more than before. To avoid vascular injury,surgeons must be familiar with vascular anatomy of the groin area and all kinds of inguinal hernia repair operation. Once the complications happen,such as vascular injury,surgeons should know the reasons and treat it in time,to reduce the iatrogenic vascular injury of inguinal hernia to a minimum.

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目的：观察平片无张力疝修补治疗腹股沟疝的临床效果及安全性。方法选取本院2008年3月~2013年3月收治的51例腹股沟疝患者,按不同疝修补手术治疗方案分为对照组(24例)和研究组(27例),对照组行疝环充填式无张力疝修补术治疗,研究组行平片无张力疝修补术治疗,比较两种修补术的临床疗效及安全性。结果研究组治疗总有效率为85.18%,明显高于对照组的58.33%,差异有统计学意义(P<0.05)；研究组不良反应发生率为7.41%,低于对照组的33.33%,差异有统计学意义(字2=3.8980,P<0.05)。结论平片无张力疝修补治疗腹股沟疝效果优于传统疝环充填式无张力疝修补术,安全性高,值得临床推广应用。
Objective To observe the efficacy and safety of plain film tension free hernia repair in the treatment of in-guinal hernia. Methods 51 cases of patients with inguinal hernia admitted into our hospital from March 2008 to March 2013 were selected,and were divided into study group (27 cases) and control group (24 cases) according to the different hernia repair surgery program,the observation group were given with plain film tension free hernia repair,and control group were given with hernia ring filling tension-free hernia repair.The efficacy and safety of two groups was compared. Results The total effective of study group was 85.18%,which was higher than 58.33% of control group,the difference was significant (P<0.05);the incidence of complication in study group was 7.41%,lower than 33.33% in control group, the difference was significant (χ2=3.8980,P<0.05). Conclusion Plain film tension free hernia repair has a better effect on patients with inguinal hernia than hernia ring fil

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目的探讨平片置入法无张力修补治疗嵌顿性腹股沟疝的临床效果。方法回顾性分析采用平片置入法无张力疝修补治疗的42例腹股沟嵌顿疝患者的临床资料。结果42例患者全部治愈，无切口感染，术后恢复快，随访6～30个月无复发。结论平片置入法一期无张力疝修补术治疗腹股沟嵌顿疝是安全可行的，并发症少，临床效果满意。
Objective To investigate the value of flat mesh tension free hernia repair in the treatment of incarcerated inguinal hernia.Methods The clinical data of 42 patients with incarcerated inguinal hernia treated by fiat mesh tension-free hernia repair were retrospectively analyzed.Results Forty-two patients had healing by first intention with no incision infection,and they were discharged 6-9 days after operation.All cases were followed up for 6-30 months without recurrence.Conclusions Flat mesh tension-free one stage repair for incarcerated inguinal hernia is feasible,with fewer complications and satisfactory clinical results.

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目的：无张力疝修补术预防性应用抗生素的必要性方法：选择本院2009年6月-2012年6月160例腹股沟疝平片无张力修补术进行对照研究，探讨腹股沟平片无张力疝修补术预防性应用抗生素的必要性结果：预防性应用抗生素组和不用抗生素组都没有发生手术部位的感染，两组平均住院时间无差异，预防性应用抗生素组费用多出120.32元。结论：排除感染危险因素的腹股沟无张力疝修补术患者，没有必要预防性应用抗生素。
Objective To assess the necessity of prophylactic use of antibiotics in the tension-free hernio-plasty. Methods Choose in June 2009-June 2012 at our hospital 160 cases of inguinal hernia repair flat piece without tension control study, explore the the necessity of prophylactic use of antibiotics in the tension-free hernioplasty for inguinal hernia. Results The prophylactic use of antibiotics and no antibiotics group didn''t hap-pen surgical site infection, the average hospitalization time difference between the two groups, the prophylactic use of antibiotics group cost 120.32 yuan more. Conclusion Rrule out infection risk factors of patients with groin without tension hernia repair, there is no need for the prophylactic use of antibiotics.

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目的：研究分析平片无张力疝修补术与疝环充填式修补术治疗腹股沟疝的临床疗效。方法选取本院2009年5月-2013年5月收治的腹股沟疝患者90例，随机分为对照组与治疗组，其中对照组进行疝环填充式修补术治疗，治疗组进行平片无张力疝修补术进行治疗，比较两组治疗效果，术中出血量、手术时间、住院时间、患者术后恢复情况、复发情况。结果治疗后两组术中出血量、手术时间、住院时间、术后复发率之间差异不明显不具有统计学意义（P>0.05）；两组术后异物感、疼痛感观察组明显低于对照组，其差异明显具有统计学意义（P 0.05）。结论两组治疗方法均具有较好的临床疗效，但从术后患者异物感、异物感、复发情况来看，采用平片无张力疝修补术优于采用疝环充填式修补术，值得临床广泛应用。
Objective Researched and analyzed plain film tension-free hernioplasty and hernia ring filling repairation treated inguinal hernia’s clinical efficacy.Methods 2010-2012 in hospital had 90 patients with inguinal hernia,which were randomly divided into control group and treatment group.The control group treated with hernia ring filling repairation.The treatment group treated with plain film tension-free hernioplasty.Compared 2 groups with treatment effects,blood loss,operative time,length of stay,postoperative recovery condition,recurrence.Results After treatment,blood loss,operative time,length of stay,recurrence had no significant differences.It was not statistically significant (P>0.05).Observation group’s postoperative foreign body sensation,pain was significantly lower than in the control group.The difference was statistically significant (P 0.05).Conclusion 2 groups’treatment methods both had better clinical efficacy,but as foreign body sensation, pain,recurrent situat

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