脐疝：粘贴绷带对治疗结果的影响。

Umbilical hernia: Influence of adhesive strapping on outcome.

作者信息

Hayashida Makoto, Shimozono Takashi, Meiri Satoru, Kurogi Jun, Yamashita Naoto, Ifuku Toshinobu, Yamamura Yoshiko, Tanaka Etsuko, Ishii Shigeki, Shimonodan Hidemi, Mihara Yuka, Kono Keiichiro, Nakatani Keigo, Nishiguchi Toshihiro

机构信息

Department of Pediatric Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Miyazaki, Japan.

Department of Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Miyazaki, Japan.

出版信息

Pediatr Int. 2017 Dec;59(12):1266-1269. doi: 10.1111/ped.13406.

DOI:10.1111/ped.13406

PMID:28833971

Abstract

BACKGROUND

Adhesive strapping for umbilical hernia has been re-evaluated as a promising treatment. We evaluated the influence of adhesive strapping on the outcome of umbilical hernia.

METHODS

We retrospectively evaluated patients with umbilical hernia referred to the present institution from April 2011 to December 2015. Patients who were treated with adhesive strapping were compared with an observation alone group. The adhesive strapping group was also subdivided into two groups: the cure group and the treatment failure group.

RESULTS

A total of 212 patients with umbilical hernia were referred to the present institution. Eighty-nine patients were treated with adhesive strapping, while 27 had observation only. The cure rate in the adhesive strapping group was significantly higher than that in the observation group. The duration of treatment of the adhesive strapping group was significantly shorter than that of the observation group. In the adhesive strapping group, the patients in the cure group were treated significantly earlier than those in the treatment failure group (P < 0.001). Furthermore, even in cases of umbilical hernia non-closure, surgical repair was easier after adhesive strapping.

CONCLUSION

Adhesive strapping represents a promising treatment for umbilical hernia. To achieve the best results, adhesive strapping should be initiated as early as possible.

摘要

背景

脐疝的粘贴带治疗已被重新评估为一种有前景的治疗方法。我们评估了粘贴带对脐疝治疗结果的影响。

方法

我们回顾性评估了2011年4月至2015年12月转诊至本机构的脐疝患者。将接受粘贴带治疗的患者与单纯观察组进行比较。粘贴带治疗组又分为两组：治愈组和治疗失败组。

结果

共有212例脐疝患者转诊至本机构。89例患者接受了粘贴带治疗，27例仅接受观察。粘贴带治疗组的治愈率显著高于观察组。粘贴带治疗组的治疗时间显著短于观察组。在粘贴带治疗组中，治愈组患者的治疗开始时间显著早于治疗失败组患者（P<0.001）。此外，即使在脐疝未闭合的情况下，粘贴带治疗后手术修复也更容易。