腹股溝疝是普外科領域里最常見的疾病之一。根據北美和歐洲國家的有關流行病學資料統計，腹股溝疝的發病率約為1‰～5‰。盡管目前國內尚無全面、系統的流行病學資料，但2001年上海地區腹股溝疝患病情況的初步流行病學調查結果顯示，腹股溝疝的發病率大約在3.6‰，60歲以上老年人的發病率則高達11.8‰［1］。按此估算，我國的腹股溝疝發病人數將超過幾百萬人，而目前較為保守地估算，我國每年的腹股溝疝和切口疝手術會在5～10萬例。
ObjectiveTo study the clinical efficacy of three mesh positions for treatment of ventral hernia.MethodsThe data of 87 patients undergoing abdominal incision hernia repair from January 2015 to January 2017 in the First Affiliated Hospital of Zhengzhou University were analyzed respectively. They were divided into three groups according to the different mesh position, Onlay treatment (n=28), Inlay treatment (n=27) and Sublay treatment (n=32). The curative effect and complications of three different surgical methods were compared and analyzed.ResultsAll the patients were recovered and discharged. A total of 6 cases among 87 patients had incision fat liquefaction, 1 patient had superficial infection and 2 patients had postoperative incision hematoma. After 3 to 36 months of follow-up (average 8 months), 3 cases of 87 patients recurred.ConclusionsThree kinds of surgeries for ventral hernia are feasibility and value, Sublay treatment is not only less pain and complications but more effective. We should strengthen the screening of preoperative cases and selecting appropriate surgical methods to prevent and reduce the recurrence of hernia.