腹部术后切口慢性窦道的整形外科治疗  

Application of plastic surgical techniques for chronic sinus of abdominal incision

作　　者：钟雷[1] 游晓波[1] 卢帆[1] 张家建[1] 卫东[1] 傅荣[1] 杜丽平[1] 蔡震[1] 

机构地区：[1]四川省人民医院整形外科,四川成都610072

出　　处：《实用医院临床杂志》2009年第3期97-98,共2页Practical Journal of Clinical Medicine

摘　　要：目的总结腹壁窦道形成的原因,介绍术前准备、术中操作及术后处理的经验。方法回顾性分析我科2000-2008年收治的腹部术后切口慢性窦道患者18例的临床资料。结果14例患者均一期愈合,4例出现表浅感染经换药均愈合。所有病例随访6-24月无复发。结论积极术前准备、完整切除窦道、肌肉填塞死腔、术中细致缝合、术后严密观察伤口、出现问题及早处理是腹部术后切口慢性窦道治疗成功的关键。Objective The surgical treatments for 18 cases of chronic sinus of abdominal incision and clinical analysis of the reasons for the sinus of abdominal wall;introduce the pre-operative preparation;operation and how to deal with after surgery were evaluated.Methods 18 cases of clinical data of the patients with chronic sinus of abdominal incision from 2000 to 2008 in the plastic surgery department were reviewed.Results There were 14 cases patients with primary healing.The other 4 cases experienced superficial infections that have healed by using of Surgical Dressing changes.All cases were followed up for 6-24 months without recurrence.Conclusion The effective measures of pre-operative management、a complete removal of sinus、muscle filling dead space、detailed stitching operation、after close observation of the wound、dealing with intractable abdominal wall as soon as possible were keys for the success of the treatment of chronic sinus of abdominal incision.

关 键 词：腹壁窦道 整形 瘘 

分 类 号：R656[医药卫生—外科学] R622[医药卫生—临床医学]