78例腹壁切口疝的病因分析  

Analysis the etiology of abdominal incisional hernia in 78 cases.

作　　者：于游[1] 吴强[1] 韩继明[1] 王灿[1] 

机构地区：[1]重庆市急救医疗中心普外科,400014

出　　处：《中华疝和腹壁外科杂志（电子版）》2010年第1期46-48,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨腹壁切口疝的发病原因及预防。方法回顾性分析我院78例腹壁切口疝患者的临床资料,分析其发病原因。结果78例病例中,腹部纵行切口54例,切口感染24例,合并糖尿病15例,慢性支气管炎14例,贫血、低蛋白血症12例,切口疝发生在6个月以内者51例(65.4%)。结论腹壁切口疝的主要原因与腹部纵行切口、切口感染、缝合技术及各种合并症有关。横向切口以及围手术期预防切口裂开、感染可以减少切口疝的发生。术后半年内应注意避免各种诱发因素。Objective To explore the etiology and prevention of the incisional hernia of abdominal wall. Methods Seventy - eight cases with incisional hernia of abdominal wall in our department were reviewed retrospectively to analyze the etiology. Results Incisional hernia of abdominal wall occurred in all of these 78 patients, 51 patients （65.4 % ）occurred within 6 months postoperatively. Among the 78 patients, longitudinal incision occurred in 54 patients, infection of incision in 24 cases, diabetes mellitus in 15 cases, chronic bronchitis in 14 cases, and anaemia or lower proteinemia in 12 cases. Conclusions It is easy for the old patients occured incisional hernia of abdominal wall. The most common etiology contained longitudinal incision, infection of incision, technique of suture and complications. Most hernia developed within 6 months postoperatively and all risk factors should be avoided.

关 键 词：疝 预防医学 病因 

分 类 号：R656.2[医药卫生—外科学] R339.5[医药卫生—临床医学]