改良腹直肌推徙术治疗腹壁巨大切口疝体会  

Experience of improved bilateral rectus push tenotomy

作　　者：王理富[1] 杨越涛[1] 马柏强[1] 张连阳[2] 

机构地区：[1]丽水市人民医院,浙江省323000 [2]第三军医大学大坪医院野战外科研究所全军战创伤中心创伤,烧伤与复合伤国家重点实验室,浙江省323000

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第5期14-16,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：国家科技支撑计划"创伤救治新技术研究及集成示范"基金资助项目(2012BAI11B01)

摘　　要：目的探讨改良双侧腹直肌推徙术在治疗腹壁巨大切口疝中临床疗效.方法 通过对2012年1月至2013年3月丽水市人民医院收治的20例重症胰腺炎术后形成巨大腹壁切口疝患者施行改良双侧腹直肌推徙术.观察手术时间、术中失血量、疼痛、伤口愈合等情况.结果 患者手术时间为85～120 min,平均（110±4） min,术中失血量105～170 ml,平均（150±5）ml.创口及腹壁无剧烈灼痛等并发症发生,伤口甲级愈合;术后5个月门诊随访,无复发,无其他不适症状.结论 本研究实践证明,腹壁切口疝患者施行改良双侧腹直肌推徙术是一种安全、可靠、理想和经济的方法.Objective To explore the efficacy of bilateral rectus push migration in the treatment of abdominal giant incisional hernia. Methods A total of 20 cases with severe pancreatitis from January 2012 to March 2013 in Lishui People＇s Hospital were enrolled the patients with the giant abdominal incisional hernia were applied with the improved bilateral rectus push tenotomy. The operation time, amount of bleeding, pain, wound healing were assessed. Results The operation time was 85 to 120 mins with a mean of （110 ±4） rains. The loss of intraoperative blood was 105 to 170 ml with a mean of （150 ±5）ml. No wound and abdominal wall related with pain and wound healing were observed. After 5 months of follow-up, no recurrence and other symptoms were found. Conclusion The pratice is safe, and reliable.

关 键 词：切口疝 腹壁 外科手术 

分 类 号：R656.2[医药卫生—外科学]