腹壁巨大缺损的修复重建  

REPAIR OF LARGE ABDOMINAL WALL DEFECT WITH PEDICLE GRAFT OF GREATER OMENTUM AND POLYPROPYLENE MESH

作　　者：张宏宇[1] 张才全[1] 王子卫[1] 付仲学[1] 

机构地区：[1]重庆医科大学附属第一医院普外科,重庆400016

出　　处：《中国修复重建外科杂志》2005年第8期629-631,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨带蒂大网膜加聚丙烯网片修复手术切除致腹壁巨大缺损的临床效果。方法1994年～2004年,采用带蒂大网膜加聚丙烯网片修复12例因腹壁肿瘤切除致腹壁巨大缺损的患者,缺损范围10cm×7cm～25cm×17cm。结果12例患者术后伤口均I期愈合。获随访1～5年,无肿瘤复发,无腹壁切口疝、肠粘连、肠梗阻和肠瘘等并发症发生。结论带蒂大网膜代替腹膜加聚丙烯网片修复腹壁缺损的方法疗效可靠,副作用少。Objective To evaluate the outcome of pedicle graft of greater omentum and polypropylene mesh in reconstruction of large defect of abdominal wall caused by surgical incision. Methods From 1994 to 2004, 12 cases of large abdominal wall defects were repaired with pedicle graft of greater omentum and polypropylene mesh after removal of abdominal wall tumor; the defect sizes of abdominal wall ranged from 10 cmX 7 cm to 25 cm× 17 cm. Results The abdominal wall wound in 12 cases were healed by first intention. After a follow-up of 1 to 5 years, no complications of abdominal hernia, infection and intestine obstruction occurred in all patients. Conclusion It is reliable to repair abdominal wall defect caused by surgical incision with pedicle graft of greater omentum and polypropylene mesh instead of peritoneum.

关 键 词：带蒂大网膜聚丙烯网片腹壁巨大缺损 

分 类 号：R656[医药卫生—外科学]