人工补片应用于韧带样瘤切除后腹壁无张力修补  

Tension-free open repair with artificial mesh after excision of abdominal desmoid tumor

作　　者：张亚男[1] 瞿欢[1] 陈卫东[1] 芮宗道[1] 范新[1] 汤文浩[1] 嵇振岭[1] 

机构地区：[1]东南大学附属中大医院普外二科,江苏南京210009

出　　处：《中国普通外科杂志》2010年第11期1227-1230,共4页China Journal of General Surgery

摘　　要：目的对比腹壁韧带样瘤切除术后直接缝合及无张力修补方法的临床效果。方法 1990年—2002年收治7例腹壁韧带样瘤,行肿块切除腹壁直接缝合;2003年—2010年收治9例腹壁韧带样瘤患者,行肿瘤广泛切除术,并使用人工补片进行腹壁缺损修补。结果直接缝合患者术后平均72 h后下床活动,平均住院14 d;无张力修补患者术后6~12 h均可下床活动,平均住院9 d。前者随访7年~20年,术后出现一例局部复发,一例切口疝,均行二次手术;后者随访6个月~7年无肿瘤复发及切口疝发生。结论腹壁韧带样瘤治疗需行肿块扩大切除术,术中使用人工材料进行腹壁缺损修补可使患者早期下床活动,减少住院时间,降低术后并发症率及控制复发。Objective To compare the results of direct suture and tension-free open repair with artificial mesh after excision of abdominal desmoid tumor.Methods The patients included 2 groups： Seven cases were treated by direct suture after excision of abdominal desmoid tumor from 1990 to 2002（group A）;9 cases were treated with wide excision and artificial mesh was used for repair of abdominal wall defect from 2003 to 2010（group B）.Results The mean time to ambulation was more than 72 hours in group A,and 6 to 12 hours in group B;the mean hospitalization time was 14 days in group A and 9 days in group B,respectively.During the follow-up（7 to 20 years）,there was one patient with incisional hernia and one patient with tumor recurrence in group A;while in the follow-up period（6 months to 7 years）,there was no incisional hernia or tumor recurrence in group B.Conclusions Surgical resection of abdominal desmoid tumor and repair of abdominal wall with artificial mesh is an easy,safe,and effective method.

关 键 词：腹壁韧带样瘤 人工补片 腹膜前间隙 

分 类 号：R730.26[医药卫生—肿瘤]