腹壁切口疝的外科治疗(附78例临床分析)  

Investigation on Surgical Treatment of Abdominal Incisional Hernia(Analysis for 78 Cases)

作　　者：于游[1] 王灿[1] 吴强[1] 

机构地区：[1]重庆市急救医疗中心普外科,重庆400014

出　　处：《中国普外基础与临床杂志》2009年第6期475-477,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的总结腹壁切口疝手术治疗的方式与效果。方法回顾性分析78例腹壁切口疝的分类、手术方式和随访情况。结果平均随访时间26个月,行单纯缝合修补19例,复发3例(15.8%);行人工合成生物材料修补59例,复发2例(3.4%)。结论应根据切口疝患者的机体状况、腹壁缺损大小、腹内压升高情况等选择个体化的手术修补方式,人工合成生物材料修补是一种效果较好的治疗手段。Objective To review the clinical operation methods of abdominal incisional hernia. Methods Classification, operation method and fellow-up of 78 patients with abdominal incisional hernia were retrospectively analyzed. Results The average time of fellow-up was 26 months. Nineteen cases were repaired with simple suture with 3 cases （15.8%） recurrence, 57 cases were repaired with man made material with 2 case （3.4%） recurrence. Conclusions Individual operation method should be chosen according to body condition, classification of the size of abdominal loss and abdominal hypertension. It is an effective method to repair the hernia of abdominal incision with man-made material.

关 键 词：切口疝 疝修补术 疝修补材料 切口疝分型 个体化手术 

分 类 号：R656.24[医药卫生—外科学]