腹膜前间隙与腹壁肌肉前放置修补术治疗腹壁切口疝的疗效比较  

Curative effect of sublay hernioplasty and onlay hernioplasty in the treatment of incision hernia of abdominal wall

作　　者：景东帅 吕宗峻 郑建忠[1] 芦小龙[1] 陈高飞[1] 

机构地区：[1]新疆医科大学第二附属医院普外科,新疆乌鲁木齐830063

出　　处：《临床研究》2017年第5期20-22,共3页Clinical Research

摘　　要：目的 探讨腹膜前间隙与腹壁肌肉前放置两种手术方式在腹壁切口疝中的疗效.方法 回顾性分析53例腹壁切口疝患者的临床资料,其中行腹壁肌肉前放置（Onlay组）修补术25例,腹膜前间隙（Sublay组）修补术28例,对两组患者年龄、体重指数、疝环大小和手术时间、术中出血量、术后并发症等进行统计学分析.结果 两组患者年龄、体重指数、疝环大小比较,差异均无统计学意义（P〉0.05）;在手术时间和术中出血量方面,Onlay组优于Sublay组,在血清肿方面,Sublay组明显优于Onlay组,差异均有统计学意义（P〈0.05）.两组术后住院时间、术后切口感染、复发和肠梗阻比较,差异均无统计学意义（P〉0.05）.结论 在切口疝治疗中,Sublay手术方式优于Onlay手术方式.Objective To compare the curative effects of sublay hernioplasty and onlay hemioplasty in incision hernia of abdominal wall. Methods A retrospective study was carried out on 53 patients who underwent ineisional hernia repair with sublay hernioplasty or onlay hernioplasty. The patients were divided into Sublay group （28 cases） and Onlay group （25 cases）. The age, BMI, defect size, operation time, complications and postoperative hospital stay were compared between the two groups. Results There was no significant difference between the two groups in age, BMI and defect size （P〉0.05）. In operation time and intraoperative bleeding, the Onlay group were superior to the Sublay group （P〈0.05）. In the area of seroma, the sublay group was better than that of the onlay group（P〈0.05）. There was no statistically significant difference in postoperative hospital stay, postoperative incision infection, recurrence and intestinal obstruction between two groups （P〉0.05）. Conclusion In the treatment of incision hernia, the sublay operation is better than onlay operation.

关 键 词：切口疝 ONLAY Sublay 修补术 

分 类 号：R656.2[医药卫生—外科学]