无张力网片覆盖（Onlay）术式治疗腹壁切口疝  

Tension-free mesh （Onlay） surgical treatment of incisional hernia： a report of 61 cases

作　　者：刘念[1] 余阳[1] 张应天[1] 

机构地区：[1]武汉,江汉大学附属医院普外科,430015

出　　处：《腹部外科》2014年第5期381-384,共4页Journal of Abdominal Surgery

摘　　要：目的探讨腹壁切口疝的防治方法。方法对61例腹壁切口疝病人的高危诱因、治疗和随访进行回顾性分析。结果61例切口疝，腹部纵行切口52例，切口感染37例，合并糖尿病15例，慢性支气管炎16例，营养不良15例；切口疝发生在6个月以内者33例。61例病人均采用肌鞘前修补方法（Onlay法）进行手术修补，并发症发生率为16．4％，其中血清肿7例，切口感染2例，复发1例。结论腹壁纵行切口、切口感染、糖尿病、腹内压增高及营养状况等因素是腹壁切口疝的危险因素，术后半年内是腹壁切口疝发生的高峰期，Onlay术式安全有效，复发率低。Objective To explore the prevention and treatment of incisional hernia of abdominal wall. Methods Retrospective analyses were conducted for the causes and treatments of 61 cases of in- eisional hernia. Results Among them, there were longitudinal incision （n = 52）, incision infection （n = 37）, concurrent diabetes mellitus （n = 15）, chronic bronchitis （n = 16） and malnutrition （n = 15）. And incisional hernia occurred within 6 months in 33 cases. All cases underwent repairing through the Onlay method. The complication rate was 16. 4%. And the outcomes were seroma （n = 7） ,wound infection （n = 2） and recurrence （n = 1）. Conclusions Longitudinal incision, incision infection, diabetes mellitus, elevated abdominal pressure, nutritional status and other factors are the main etiologies of incisional hernia of abdominal wall. Postoperative half a year has a peak incidence. And Onlay method is both safe and effective with a low recurrence rate.

关 键 词：腹部疝 腹壁 切口疝 防治 无张力疝修补术 

分 类 号：R656.2[医药卫生—外科学]