Sublay法无张力修补术在老年人腹壁切口疝中的应用  

Application of Sublay tension-free herniorrhaphy for aged abdominal wall incisional hernia

作　　者：钟锋[1] 陈晓明[1] 王金重[1] 陈亚进[2] 

机构地区：[1]江门市人民医院普通外科,广东江门529000 [2]中山大学孙逸仙纪念医院肝胆外科,广东广州510120

出　　处：《岭南现代临床外科》2011年第4期244-245,247,共3页Lingnan Modern Clinics in Surgery

基　　金：国家自然科学基金;项目编号:81070453

摘　　要：目的探讨Sublay法无张力修补术在老年人腹壁切口疝手术治疗中的疗效。方法回顾性分析江门市人民医院2004年1月至2010年2月采用Sublay法无张力修补术治疗的32例老年腹壁切口疝患者的临床资料。结果 32例患者手术均顺利完成,手术时间53～112min,平均72min。术后发生肺部感染2例,泌尿系感染1例,经保守治疗后均痊愈。术后未发生切口感染、积液、积血以及肠梗阻。所有患者均治愈出院。随访时间13～73个月,平均38.5个月,无一例复发。结论 Sublay法无张力修补术术后并发症少,复发率低,是治疗老年人腹壁切口疝的可靠方法。Objective To explore the efficacy of Sublay tension-free herniorrhaphy for aged abdominal wall incisional hernias. Methods From January 2004 to February 2010, Clinical data of 32 patients with abdominal wall incisional hernia received Sublay tension-free herniorrhaphy were analyzed retrospectively. Results The operations was performed successfully in all patients. The mean operative time was 72 minutes（ranged from 53 min to 112 min）. The postoperative pulmonary infection and urinary infection were in 2 and 1 case respectively, and these cases were cured by conservative treatment. No wound infection,hydropsy, hematoma and intestinal obstruction were found after operation. All patients were cured and there were no death cases. The follow-up ranged from 13 to 73 months （average 38.5 months）. There was no hernia recurrence in follow-up period. Conclusion The way of Sublay tension-free hernia repair has few postoperative complications and lwo recurrence rate of hernia. It could be one of dependable procedure for aged abdominal wall incisional hernia.

关 键 词：腹壁 切口疝 手术 老年 

分 类 号：R656.2[医药卫生—外科学]