腹股沟疝是普外科领域里最常见的疾病之一。根据北美和欧洲国家的有关流行病学资料统计，腹股沟疝的发病率约为1‰～5‰。尽管目前国内尚无全面、系统的流行病学资料，但2001年上海地区腹股沟疝患病情况的初步流行病学调查结果显示，腹股沟疝的发病率大约在3.6‰，60岁以上老年人的发病率则高达11.8‰［1］。按此估算，我国的腹股沟疝发病人数将超过几百万人，而目前较为保守地估算，我国每年的腹股沟疝和切口疝手术会在5～10万例。
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.