应用膨化聚四氟乙烯补片行开放式腹壁大切口疝修补术的临床分析  

Clinical analysis of using expanded polytetrafluoroethylene patch in the repair of open abdominal wail incisionai hernia

作　　者：张春泽[1] 付文政[1] 贾岩峰[1] 江涛[1] 

机构地区：[1]天津市人民医院南开大学人民医院肛肠科,天津300121

出　　处：《腹部外科》2015年第1期50-53,共4页Journal of Abdominal Surgery

摘　　要：目的探讨腹壁大切口疝治疗经验。方法对我院采用补片行开放式腹壁大切口疝修补术的211例病人临床资料进行回顾性分析。结果手术平均时间为80min（45-190min），术中出血为15-90ml，平均35．6ml；术中无血管和内脏损伤等并发症。术后3～7d（平均4．9d）下床活动；平均住院时间为6．3d（2～16d）。1例病人由于网膜出血进行了急诊二次手术。2例病人由于皮下出血．于手术后2～6h进行了伤口修整术。211例病人长期随访（60～178个月），有6例病人（2．8％）出现疝复发，所有病例无慢性疼痛。结论应用膨化聚四氟乙烯补片行开放式腹壁大切口疝修补术是一种安全、可靠的方法，复发率低。Objective To explore the clinical experiences of large abdominal wall incision herni- a. Methods The clinical data of 211 cases undergoing open mesh repair of large abdominal incision hernia were analyzed retrospectively. Results The average operative duration was 80 （45-190） min and average intraoperative bleeding volume 35.6 （15-90） ml. There was no complication of vessel or viscera injury. The average postoperative activity time was 4. 9 （3-7） days and average hospitalization stay 6. 3 （2-16） days. One case underwent emergency reoperation because of omentum hemorrhage. There were 2 cases of wound reconstruction in 2-6 hours post-operation because of subcutaneous hem- orrhage. Hernia recurred in 6 patients （2. 8O/oo）. No chronic pain appeared during a long-term follow- up period of 60-178 months. Conclusions Laparoscopic repair of large abdominal incision hernia with expanded polytetrafluoroethylene patch is both effective and safe with a low recurrence rate.

关 键 词：腹壁切口疝 开放式手术 聚四氟乙烯补片 修补术 

分 类 号：R656.2[医药卫生—外科学]