人工合成补片修补腹壁切口疝临床探讨  

Analysis of repairing abdominal incisional hernias with mesh

作　　者：王嘉[1] 安伟德[1] 邓中慧[1] 朴京华[1] 李玉文[1] 张伟国[1] 胡松伯[1] 姜超[1] 

机构地区：[1]大连医科大学附属第一医院普外科,116011

出　　处：《中华疝和腹壁外科杂志（电子版）》2008年第3期23-25,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨人工合成补片修补腹壁切口疝的有效方法。方法回顾性分析2004年3月至2008年9月经我院诊治的34例腹壁切口疝患者的临床资料。其中10例行肌筋膜前置补片修补法(Onlay),22例行腹膜前置补片修补法(Sublay),2例肌间置补片修补法(Inlay)。结果34例均痊愈出院,无严重并发症,随访1～54个月,Onlay组复发2例,Sublay组复发1例,Inlay组复发1例。结论Sublay治疗腹壁切口疝复发率低,是治疗腹壁切口疝的理想方法。Objective To discuss clinical effective methods of repairing abdominal incisional hernias with mesh. Methods Thirty-four cases of abdominal incisional hernia were analyzed retrospectively in our hospital from Mar. 2004 to Sep. 2008. 10 cases were repaired with Onlay,22 cases with Sublay and 2 cases with Inlay. Results The cases were all cured, and had no serious postoperative complications. Among all eases followed up during 1 -54 months, 2 cases recurred in the group of Onlay, each 1 case recurred in the group of Sublay and Inlay. Conclusions Sublay is a lower recurernce rate method, thus it, s considered as a satisfactory mode of the repair on abdominal incisional hernias.

关 键 词：疝 再手术 补片 

分 类 号：R656.2[医药卫生—外科学] R654.2[医药卫生—临床医学]