腹壁切口疝修补术的术后复发分析  

Analysis of recurrence after abdominal incisional hernia repair

作　　者：陈华涛[1] 闵凯[1] 任骏[1] CHEN Hua-tao;MIN Kai;REN Jun(Hernia and Abdominal Wall Surgical Treatment Center,Wuhan First Hospital,Wuhan 430022,China)

机构地区：[1]武汉市第一医院,湖北武汉430022

出　　处：《腹腔镜外科杂志》2018年第10期736-737,745,共3页Journal of Laparoscopic Surgery

摘　　要：目的:总结腹壁切口疝修补术的术后复发情况。方法:回顾分析2013～2017年收治的61例腹壁切口疝患者的临床资料。结果:61例腹壁切口疝修补术中,35例(57.4%)行完全腹腔镜手术,24例(39.3%)行腹腔镜联合开腹(杂交技术)手术,2例行开放修补术(3.3%);其中33例属于复杂切口疝;术后随访(14.0±3.2)个月,6例(9.8%)复发,其中术后6个月复发1例(16.7%)、12个月复发1例(16.7%)、24个月以后复发4例(66.7%)。结论:腹部复杂切口疝围手术期应重视术后复发的高危因素,有助于降低术后远期复发率。Objective:To summarize the recurrence after abdominal wall incisional herniorrhaphy.Methods:Retrospective analysis was made on the clinical data of 61 patients who suffered from abdominal wall incisional hernia and were treated from 2013 to 2017.Results:The 61 cases of abdominal wall incisional hernia repair included 35 cases of complete laparoscopic surgery(57.4%),24 cases of laparoscopy combined with open(hybrid technique)surgery(39.3%)and 2 cases of open repair(3.3%).There were 33 cases of complex incisional hernia.In the postoperative follow-up of(14.0±3.2)months,6 cases recurred(9.8%)including 1 case(16.7%)in the postoperative 6th month,1 case(16.7%)in the postoperative 12th month and 4 cases(66.7%)after more than 24 months.Conclusions:In the perioperative period of abdominal incisional hernia,surgeons should pay attention to the high risk factors of postoperative recurrence,which is helpful to reduce the long-term recurrence rate.

关 键 词：切口疝 疝修补术 腹腔镜检查 复发 

分 类 号：R656.24[医药卫生—外科学]