生物补片治疗腹壁肿瘤切除术后的腹壁缺损  

Biological mesh in the treatment of abdominal wall defect after tumor resection

作　　者：曹桢 刘雨辰[2] 申英末[2] 邹振玉 刘亦婷 陈杰[2] Cao Zhen;Liu Yuchen;Shen Yingmo;Zou Zhenyu;Liu Yiting;Chen Jie(The Third Clinical Medical College of Capital Medical University,Beijing 100043,China;Department of Hernia and Abdominal Wall Surgery,Affiliated Beijing Chaoyang Hospital,Capital Medical University,Beijing 100043,China)

机构地区：[1]首都医科大学第三临床医学院,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：《中华普通外科杂志》2019年第10期879-882,共4页Chinese Journal of General Surgery

基　　金：北京市自然科学基金(7152064).

摘　　要：目的探讨生物补片在腹壁肿瘤切除术后腹壁缺损修补的临床应用价值.方法回顾性分析2015年9月至2017年9月期间首都医科大学附属北京朝阳医院疝和腹壁外科应用生物补片治疗腹壁肿瘤切除术后腹壁缺损15例患者的临床资料,所有患者均行腹壁肿瘤根治性切除及一期腹壁重建.结果 15例患者均顺利完成手术,中位手术时间95(65~ 145) min,中位术后住院时间17(9~22)d,中位术后随访18(17 ~32)个月.术后发生血清肿8例,均经自行吸收、引流等措施好转;术后发热1例,经物理降温后好转;术后因胃癌晚期全身多发部位转移而死亡1例.随访的全部患者术后均无局部异物感、肠梗阻、肠瘘等并发症.结论生物补片治疗腹壁肿瘤切除术后腹壁缺损是安全可行的.Objective To investigate the clinical value of biological mesh in repairing abdominal wall defect after tumor resection.Methods 15 patients with abdominal wall defect left over by radial resection of abdominal wall tumor were treated with primary biological mesh herniorrhaphy from Sep 2015 to Sep 2017 at the Department of Hernia and Abdominal Wall Surgery of Beijing Chaoyang Hospital.Results The operation was successful in all 15 patients.The operation time was 95 (65-145)main.The hospital stay was 17 (9-22) d.The patients were followed up for 18 (17-32) months.postoperative seroma occurred in 8 cases,postoperative fever occurred in 1 case.One case died of multiple systemic metastases of advanced gastric cancer.All the other patients were followed up without complaining about local pain,foreign body sensation,intestinal obstruction,intestinal fistula.Conclusions Biological mesh is safe and feasible for the treatment of abdominal wall defect after tumor resection.

关 键 词：腹壁 疝修补术 生物补片 

分 类 号：R735[医药卫生—肿瘤]