腹壁切口疝修补方式的个体化选择  

Individualized selection of approaches of hernia of abdominal incision

作　　者：陈天宇[1] 胡泽民[1] 常晓健[1] 陈宏[1] 周载平[1] 

机构地区：[1]中山大学附属第三医院普外科,广州510630

出　　处：《中国综合临床》2007年第6期546-547,共2页Clinical Medicine of China

摘　　要：目的探讨腹壁切口疝个体化手术治疗方式的选择。方法回顾性分析41例腹壁切口疝的分类、手术方式和复发情况。结果平均随访时间27个月,单纯缝合修补术28例,复发1例;人工合成补片修补13例,复发1例,其中腹腔镜人工合成补片修补2例,无复发。结论应根据切口疝患者的机体状况、腹壁缺损大小及部位选择个体化手术修补方式。合理使用补片和直接修补可获得满意疗效。Objective To investigate personalized operation for hernia of abdominal incision. Methods Classiflcation,operation method and recurrence of 41 cases of hernia of abdominal incision were retrospectively analyzed. Results The average time of follow-up was 27 months. 28 cases were repaired with simple suture with 1 case of recurrence,13 cases were repaired with man-made mesh with 1 case recurrence, and two of them were repaired with man-made mesh by laparoscopy without recurrence. Conclusion Personalized operation method should be chosen according to body condition, classification of the size and location of abdominal loss with abdominal hernia. Surgical repair with mesh or direct suture may obtain a satisfactory reaults.

关 键 词：腹部疝 疝修补术 

分 类 号：R656[医药卫生—外科学]