Kitano Pediatric Clinic, Kumamoto, Japan.
Department of Pediatrics, Taragi Municipal Hospital, Kumamoto, Japan.
Pediatr Int. 2021 Mar;63(3):306-310. doi: 10.1111/ped.14464. Epub 2021 Mar 8.
Using a controlled trial, this study aimed to evaluate the effectiveness of adhesive strapping to improve the natural healing rate of umbilical hernia.
This prospective, observational study included 128 patients from Kumamoto, Japan (97 in the adhesive strapping group, and 31 in observation group), from 2012-2015. The duration from first hospital visit to the hernia orifice closure was compared between the two groups.
Kaplan-Meier curves showed that the probability of umbilical hernia in the adhesive strapping group was lower until approximately 200 days, but it was not statistically significant in the log rank test. According to multivariate Cox proportional hazard models, the hazard risk of umbilical hernia in the adhesive strapping group was significantly higher within 0-60 days after adjusting for confounding factors such as hernial cavity and hernia orifice area (P < 0.0001).
Adhesive strapping of umbilical hernia was significantly associated with earlier closure of the hernia orifice from baseline until at least 60 days.
本研究采用对照试验，旨在评估黏贴带固定法对促进脐疝自然愈合的有效性。
本前瞻性观察研究纳入了 2012 年至 2015 年来自日本熊本市的 128 名患者（黏贴带固定组 97 例，观察组 31 例）。比较两组患者从首次就诊到疝孔闭合的时间。
Kaplan-Meier 曲线显示，黏贴带固定组患者的脐疝概率在大约 200 天内较低，但对数秩检验无统计学意义。根据多变量 Cox 比例风险模型，在调整疝囊和疝孔面积等混杂因素后，黏贴带固定组患者脐疝的风险在 0-60 天内显著更高（P＜0.0001）。
脐疝黏贴带固定与基线时相比，至少在 60 天内疝孔更早闭合显著相关。
