腹壁切口疝的外科治疗(附53例临床分析)  

Surgical treatment of abdominal incisional hernia (Analysis for 53 cases)

作　　者：陈革[1] 唐健雄[1] 钱敏[1] 黄磊[1] 

机构地区：[1]上海华东医院普外科,200040

出　　处：《岭南现代临床外科》2003年第1期9-11,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的 总结治疗腹壁切口疝的临床经验。方法 对1994年4月～2002年8月53例腹壁切口疝患者在年龄、手术方法、引流放置,抗生素应用及预后进行回顾性分析。结果 53例患者采用人工合成材料或直接缝合修补。术后切口积液3例,无切口感染。随访时间3月～5年,治愈46例,复发7例。结论腹壁切口疝是腹部手术后常见的并发症之一,尤其是老年患者。合理使用人工合成材料及直接缝合修补法适可以获得良好的治疗效果。Objective To summarize the clinical experience of the treatment on the abdominal inci-sional hernias. Methods From April 1994 to Augest 2002, 53 cases of the abdominal incisional hernias were analyzed retrospectively in the age, the method of repair, postoperative drainage, antibiotic usage and prognosis. Results 53 patients were performed a surgical repair with mesh or direct suture. 3 cases had wound hy-drops, but no wound infection after operation With follow-up from 3 months to 5 years, 46 cases were cured and 7 cases had recurrence. Conclusion The abdominal incisional hernia is one of the common complications after abdominal operation especially in elderly. Surgical repair with mesh or direct suture can obtain a good effect.

关 键 词：切口疝 补片修补术 

分 类 号：R6[医药卫生—外科学]