评估IPST-3D补片治疗造口旁疝的临床效果。

采用病例检索筛查和随访方式，选择2015年1月至2021年5月首都医科大学附属北京朝阳医院符合纳入标准并获得完整随访资料的造口旁疝患者546例，获得患者知情同意后，收集患者住院期间资料并随访出院后情况，评估IPST-3D补片在造口旁疝手术中的应用效果。

546例患者中男271例，年龄（67.06±9.15）岁，平均造口旁疝病程（3.83±1.55）年；73例（13.37%）行全腹腔镜手术，473例（86.63%）行复合手术；造口分型（Rubin分型）Ⅱ型149例（27.29%），Ⅱ+Ⅲ型397例（72.71%）；平均疝环直径（4.18±1.03）cm，平均手术时间为（82.40±11.18）min，术中出血量为（26.72±10.35）ml，住院时间为（19.31±10.37）d；术后随访时间13~69（47.05±21.56）个月；术后复发66例（12.09%），发生术后肠梗阻35例（6.41%），造口坏死23例（4.21%），补片感染10例（1.83%），肠管损伤（含肠瘘）6例（1.10%），切口感染（含造口感染）4例（0.73%），积液2例（0.37%），出血、慢性疼痛各1例（0.18%）。

采用IPST-3D补片治疗造口旁疝效果确切，建议由具有丰富经验的疝中心专科医师进行手术。

To evaluate the effect of IPST-3D mesh in the treatment of parastomal hernia repair.

From January 2015 to May 2021, a total of 546 cases undergoing parastomal hernia repair surgery with IPST-3D mesh in Beijing Chao-Yang Hospital of Capital Medical University were selected as the subjects. The clinical information and postoperative follow-up data of patients were collected to evaluate the effect of IPST-3D mesh for parastomal hernia surgery.

There were 271 male in the 546 cases, with an average age of (67.06±9.15), and the average course of hernia was (3.83±1.55) years. Seventy-three cases (13.37%) underwent total laparoscopic repair surgery and 473 cases (86.63%) underwent hybrid operation. The classification of hernia (Rubin): 149 cases of type Ⅱ(27.29%), 397 cases of type Ⅱ+Ⅲ(72.71%), and the average hernia ring diameter was (4.18±1.03) cm. The average operation time was (82.40±11.18) min, the intraoperative blood loss was (26.72±10.35) ml, and the hospital stay was (19.31±10.37) d. The mean duration of follow-up was (47.05±21.56) months (range of 13-69 months). Sixty-six cases (12.09%) recurred after operation. The postoperative complications were as follows: intestinal obstruction in 35 cases (6.41%), colostomy necrosis in 23 cases (4.21%), mesh infection in 10 cases (1.83%), intestinal injury (including intestinal fistula) in 6 cases (1.10%), incisional infection (including ostomy) in 4 cases (0.73%), effusion in 2 cases (0.37%), bleeding in 1 case (0.18%), and chronic pain in 1 case (0.18%).

The application of IPST-3D mesh in the treatment of parastomal hernia repair has satisfactory result. It is recommended that experienced hernia center specialists perform the operation.