中国普通外科杂志2017，Vol.26Issue(10)：1237-1246,10.DOI:10.3978/j.issn.1005-6947.2017.10.003
无张力性疝修补术中切除髂腹股沟神经疗效的Meta分析
Meta-analysis of efficacy of ilioinguinal neurectomy in inguinal hernia repair
王紫括 1徐靖 2张新 2王荫龙 2吴易锋 1孙广革1
作者信息
- 1. 南开大学医学院,天津300071
- 2. 天津市人民医院普通外科,天津300121
- 折叠
摘要
Abstract
Objective:To evaluate the clinical efficacy and safety of prophylactic ilioinguinal neurectomy in open tensionfree inguinal hernia repair.Methods:The randomized controlled trials estimating the clinical significance of prophylactic ilioinguinal neurectomy publically published before March 2017 were searched in several national and international databases.A meta-analysis was performed on the extracted data.Results:A total of 13 studies were included,involving 2 033 patients with 1 007 cases in nerve excision group and 1 026 cases in nerve preservation group.In nerve excision group compared nerve preservation group,the shortand mid-term postoperative pain (SMD=-0.54,95％ CI=-0.85--0.23;SMD=-0.25,95％ CI=-0.40--0.10) were significantly reduced (both P＜0.05),but the long-term postoperative pain (SMD=-0.21,95％ CI=-0.47-0.05)showed no significant difference (P＞0.05);all the short-,mid-and long-term rates of postoperative numbness (RD=0.00,95％ CI=-0.06 0.07;RD=0.01,95％ CI=-0.03 0.06;RD=0.00,95％ CI=-0.03-0.02) and sensory disturbance (RD=0.05,95％ CI=-0.03-0.12;RD=0.02,95％ CI=-0.02-0.06;RD=0.01,95％ CI=-0.02-0.04)showed no significant difference (all P＞0.05);the incidence of minor postoperative complications (RR=0.71,95％ CI=0.48-1.06) also showed no significant difference (P＞0.05).Conclusion:Prophylactic ilioinguinal neurectomy in open inguinal hernia repair can effectively reduce the shortand mid-term pain,with no increase of risk of abnormal sensations in the inguinal area.关键词
疝,腹股沟/疝修补术/腰骶丛/疼痛/Meta分析Key words
Hernia, Inguinal/Herniorrhaphy/Lumbosacral Plexus/Pain/Meta-Analysis分类
医药卫生引用本文复制引用
王紫括,徐靖,张新,王荫龙,吴易锋,孙广革..无张力性疝修补术中切除髂腹股沟神经疗效的Meta分析[J].中国普通外科杂志,2017,26(10):1237-1246,10.
