腹股沟疝修补技术的应用趋势：一项基于人群的研究。
Trends in the utilization of inguinal hernia repair techniques: a population-based study.
机构信息
Department of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
出版信息
Am J Surg. 2012 Mar;203(3):313-7; discussion 317. doi: 10.1016/j.amjsurg.2011.10.005. Epub 2012 Jan 4.
BACKGROUND
The use of inguinal hernia repair techniques in the community setting is poorly understood.
METHODS
A retrospective review of all inguinal hernia repairs performed on adult residents of Olmsted County, MN, from 1989 to 2008 was performed through the Rochester Epidemiology Project.
RESULTS
A total of 4,433 inguinal hernia repairs among 3,489 individuals were reviewed. Non-mesh-based repairs predominated in the late 1980s (94% in 1989), declined throughout the 1990s (40% in 1996), and are rarely used nowadays (4% in 2008). Open mesh-based repairs comprised 21% in 1990, peaked in 2001 with 72%, and declined to 55% in 2008. The adoption of laparoscopic repairs began in 1992 (6%) and has increased steadily to 41% in 2008 (P < .001).
CONCLUSIONS
Although non-mesh-based repairs, once the predominant method, have been supplanted by open mesh-based techniques, nowadays the use of laparoscopic inguinal hernia repair techniques has increased substantially to nearly equal that of open mesh-based techniques.
背景
腹股沟疝修补技术在社区环境中的应用情况了解甚少。
方法
通过罗切斯特流行病学项目，对明尼苏达州奥姆斯特德县 1989 年至 2008 年期间所有成年居民进行的腹股沟疝修补术进行回顾性分析。
结果
共回顾了 3489 名个体的 4433 例腹股沟疝修补术。非网片修补术在 80 年代末占主导地位（1989 年为 94%），整个 90 年代呈下降趋势（1996 年为 40%），如今很少使用（2008 年为 4%）。开放式网片修补术在 1990 年占 21%，在 2001 年达到峰值（72%），到 2008 年下降到 55%。腹腔镜修补术的应用始于 1992 年（6%），并稳步增加至 2008 年的 41%（P<.001）。
结论
尽管非网片修补术曾经是主要方法，但现已被开放式网片技术所取代，如今腹腔镜腹股沟疝修补技术的使用已大幅增加，几乎与开放式网片技术持平。
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