腹直肌后置入补片治疗腹壁切口疝59例  

Application of patch repair with rectus abdominis in incisional hernia(59 cases)

作　　者：帕尔哈提.阿布都热衣木 孙琴琴[1] 张军[1] 韩智君[1] 迪米拉[1] 吐尔逊.亚库普 

机构地区：[1]新疆医科大学第六附属医院普外科,乌鲁木齐830002 [2]新疆库车县维吾尔医院外科

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第4期38-39,44,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨腹直肌后置入补片修补腹壁切口疝的临床疗效。方法回顾性分析2007年3月至2012年12月新疆医科大学第六附属医院经腹直肌后置入人工补片手术修复腹壁切口疝患者59例。结果本组59例患者全部治愈。手术时间45～150min,平均(80±10)min。术后住院时间6～8d。术后发生皮下积液3例,穿刺抽液后好转;术后慢性疼痛1例,3个月后自行好转;血肿2例,穿刺引流后好转;血清肿1例;随访3个月至5年,复发1例。结论采用腹直肌后腹膜前置入人工补片治疗腹壁切口疝是安全、有效的。Objective To explore the effectiveness of application of patch repair with rectus abdominis in the patients with incisional hernia. Methods A total of 59 patients, who were treated with implantation of artificial mesh repair and enrolled between March 2007 and December 2012 from the Sixth Affiliated Hospital of Xinjiang Medical University were retrospectively assessed. Results All of the cases were cured. The operation time was 45 to 150 mins with a mean of （80 -＋ 10 ） mins. The postoperative hospital stay was 6 to 8 days. The subcutaneous effusion was occurred in three patients. The puncture and drainage were improved. One case of chronic pain after operation was found and improved after 3 months. There were 2 cases of hematoma including one case that was improved after puncture drainage. After a follow- up of 3 months to 5 years, one case was recurred. Conclusions The application artificial patch in the treatment of abdominal ineisional hernia is safe and effective.

关 键 词：疝 外科手术 腹直肌 

分 类 号：R656.2[医药卫生—外科学]