肌后间隙修补法治疗腹壁切口疝患者的疗效  

Study of retromuscular mesh repair in the treatment of incisional hernias

作　　者：倪敏[1] 申英末[2] 刘静[2] 聂玉胜[2] 韦皓棠[1] 王佳雷[1] Ni Min;Shen Yingmo;Liu Jing;Nie Yusheng;Wei Haotang;Wang Jialei(Department of Gastrointestinal Surgery,the Second Nanning People＇s Hospital Nanning 530031,China;Department of Hernia and Abdominal Wall Surgery,Being Chao-Yang Hospital,Capital Medical University,Beijing 100043,China)

机构地区：[1]南宁市第二人民医院胃肠外科,530031 [2]首都医科大学附属北京朝阳医院疝和腹壁外科,100043

出　　处：《中华疝和腹壁外科杂志（电子版）》2018年第5期360-362,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨肌后间隙修补法(Sublay)在腹壁切口疝患者治疗中的手术效果。方法回顾性分析2015年1月至2017年8月,首都医科大学附属北京朝阳医院疝和腹壁外科107例行Sublay手术的腹壁切口疝患者的临床资料,分析患者的一般资料、手术方法、并发症及术后转归情况,随访其有无切口疝复发及补片相关并发症发生情况。结果本组患者均顺利完成手术,平均手术时间(60.3±7.8)min,平均住院时间(17.6±5.3)d,所有患者术后恢复良好,2例患者出现脂肪液化,经换药后伤口愈合;1例患者出现皮下血肿,1例患者出现血清肿,经局部加压保守治疗后治愈,无伤口感染及局部异物感,无死亡患者。随访时间6～38个月,平均随访时间(22.7±10.8)个月,无切口疝复发,无死亡患者,无补片感染、慢性疼痛及局部异物感等补片相关并发症发生。结论肌后间隙修补手术(Sublay)治疗腹壁切口疝结果满意,手术疗效较好。Objective To study the clinical effect of retromuscular mesh repair for incisional hernias. Methods A retrospective study was conducted on 107 patients of incisional hernia who underwent Sublay operation in Beijing Chao-Yang Hospital during January 2015 and December 2017. Demographic data, surgical technique, postoperative complications and postoperative recovery were analyzed. Results All the operations successfully completed. The mean operation time was（60.3±7.8） minutes. The mean hospitalization was（17.6±5.3） days. 2 patients developed incision fat liquefaction and finally recovered by continuous dressing changes. 1 patient had wound hematoma and 1 patient had seroma, were treated conservatively. There was no recurrence during the mean follow-up time of（22.7±10.8） months（range 4 to 40 months）. No mesh related complications such as mesh infection, chronic postoperative pain and foreign body sensation was detected. Conclusion Retromuscular mesh repair（Sublay） for incisional hernia is an effective and effective method.

关 键 词：腹壁疝 切口疝 肌后间隙修补法 

分 类 号：R656.2[医药卫生—外科学]