开放式肠造口旁疝原位无张力修补术临床效果研究  

Open Tension Free Hernia Repair in Situ for Parastomal Hernia with Report of 36 Cases

作　　者：蒋晓[1] 黄河[1] 陈立兵[1] 种景贵[1] 王振乾[1] 

机构地区：[1]中国人民解放军第85医院普外科,上海市200052

出　　处：《实用心脑肺血管病杂志》2011年第2期291-293,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨肠造口旁疝形成原因及开放式原位无张力疝补片修补术的临床应用。方法对2002年8月—2009年10月间共38例肠造口旁疝患者行开放式原位补片无张力疝修补术进行回顾分析。结果 38例手术均顺利完成,术后住院时间10~16d,无切口感染、皮下积液、肠坏死、肠梗阻等并发症,术后远期复发1例。结论腹外斜肌腱膜的破坏是造成造口旁疝形成的原因,利用聚丙烯单丝Prolene网片行开放式肠造口旁疝原位无张力修补术简单、有效,值得推广。Objective To discuss the cause of parastomal hernia and the clinical application of open tension free hernia repair in situ with the utilization of polypropylene monofilament mesh.Methods 38 cases of parastomal hernia that had been undergone open tension free hernia repair in situ with the utilization of polypropylene monofilament mesh from August 2002 to October 2009 were analyzed retrospectively.Results Successful surgery was achieved in all 38 cases with post-operation hospital stay of 10~16 days respectively.No occurrence of post operation infection,subcutaneous hydrops,intestinal necrosis,or intestinal obstruction.There was 1 case of late relapse.Conclusion The destruction of aponeurosis of external oblique muscle of abdomen is the cause of parastomal hernia.The utilization of Prolene,also known as the polypropylene monofilament mesh,is recommended for tension free hernia repair for parastomal hernia with the advantage of effectiveness and simple operation.

关 键 词：造口旁疝 无张力修补 手术 

分 类 号：R656.2[医药卫生—外科学]