补片修补腹壁子宫内膜异位病灶切除术后腹壁缺损24例临床分析  

Application of patch on repairing the defect during rsecting abdominal wall endometriosis: clinical analysis of 24 cases

作　　者：王慧敏[1] 付凌婕[1] 谭明子[1] 李潇[1] 高一平[1] 林蓓[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,辽宁沈阳110004

出　　处：《现代肿瘤医学》2014年第12期2974-2978,共5页Journal of Modern Oncology

基　　金：盛京自由研究者计划(编号:201303)

摘　　要：目的:分析采用补片修补腹壁子宫内膜异位病灶切除术后腹壁缺损的疗效。方法:回顾性分析2007年至2014年中国医科大学附属盛京医院诊治的24例腹壁子宫内膜异位病灶切除术后采用补片修补腹壁缺损患者的临床资料。结果:24例患者腹壁包块最大径为3.5-15cm,平均5.4cm,病灶切除后腹壁缺损大且深,采用补片修补,切口均为I期愈合,无感染,17例术后补充GnRH-a治疗,随访患者1-78个月,腹壁切口愈合良好,无复发,无腹壁疝形成,外形美观,患者感受良好。结论:腹壁子宫内膜异位症一旦发现应及早手术完全切除病灶,手术后较大腹壁缺损应用补片修补效果好。Objective： To research the clinical result of patch in repairing the defect during resecting abdominal wall endometriosis. Methods： A retrospective study was made on 24 patients using patch in repairing the defect during resecting abdominal wall endometriosis,who were hospitalized at China Medical University Affiliated Shengjing Hospital from 2007 to 2014. Results： The maximum diameter of 18 patients＇ abdominal mass ranged from 3. 5cm to 15cm（ average 5. 4cm）. The surgery revealed a broad range and severe abdominal wall defect,the patch treatment was used. Incisions healed in stage I and without infection. 17 cases added GnRH- a treatment,the follow- up time after the surgery ranged from 1 month to 78 months. Abdominal incisions healed well,and patients with no recurrence,no abdominal wall hernia formation,appearance beautiful and no discomfort in abdominal wall. Conclusion： Abdominal wall endometriosis lesions should be resected totally once found,application patch to repair the defect during surgery is effective.

关 键 词：补片 腹壁子宫内膜异位症 治疗 

分 类 号：R730.5[医药卫生—肿瘤]