肾移植术后切口疝发生的相关危险因素及治疗分析  

Study on risk factors and treatment of incisional hernia after renal transplantation

作　　者：苏姗 申英末[2] Su Shan;Shen Yingmo(the Third Clinical Medical School, Captial Medical University, Beijing 100043, China;Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing100043, China)

机构地区：[1]首都医科大学附属第三临床医学院,北京100043 [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）》2019年第5期394-397,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：切口疝是腹部手术最常见的术后并发症之一。腹部器官移植后,由于患者长期使用免疫抑制疗法及其他原因导致切口愈合缓慢且易感染,发生切口疝的风险也随之增加。肾移植术后切口疝的形成通常不会对患者产生致命的影响,因此并没有得到外科医师的重视。然而,并发切口疝可导致患者住院时间延长以及费用的增加。此外,若不及时治疗,疝内容物与疝囊黏连,可导致肠梗阻,并发循环及呼吸功能紊乱,不仅损害了患者的生活质量,严重时甚至会威胁患者生命。因此,对肾移植术后患者并发切口疝的研究显得尤为重要。Incisional hernia is one of the most common postoperative complications in abdominal surgery. After abdominal organ transplantation, the risk of incisional hernia will increased due to long-term use of immunosuppression therapy and other reasons which lead delay wound healing and susceptibility to infection. The formation of incisional hernia after kidney transplantation is usually not fatal to patients, so it has not received much attention from surgeons. However, incisional hernia can lead to prolonged hospital stay and increased costs. In addition, if not treated promptly, the hernia contents may adhere to the hernia sac, which may lead to intestinal obstruction, cardiovascular and respiratory dysfunction;and it may seriously threaten the quality of life and physical health of patients. Therefore, the study of incisional hernia after kidney transplantation is particularly important.

关 键 词：切口疝 肾移植 危险因素 疝补片 

分 类 号：R656.2[医药卫生—外科学] R699.2[医药卫生—临床医学]