腹腔镜下生物补片修补成人脐疝的临床疗效分析  

Analysis of clinical effect of laparoscopic biological mesh repair for adult umbilical hernia

作　　者：李光兴 申英末[2] Li Guangxing;Shen Yingmo(The Third Clinical Medical College of Capital Medical University,Beijing 100043,China;Department of Hernia and Abdominal Wall Surgery,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：《中华疝和腹壁外科杂志（电子版）》2021年第1期8-11,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨腹腔镜下生物补片修补成人脐疝的有效性和临床疗效。方法回顾性分析2017年1月至2019年1月在首都医科大学附属北京朝阳医院疝和腹壁外科15例行腹腔镜脐疝生物补片修补术患者的临床资料。结果15例患者均顺利完成腹腔镜脐疝修补术,所有患者均行腹腔内生物补片置入修补术。住院时间5~6 d,平均5.5 d。术后随访8~32个月,平均18个月。随访期间无复发,发生包裹性积液1例;术后1个月发生血清肿3例;未见术后发生腹壁慢性疼痛。结论腹腔镜下生物补片修补成人脐疝是一种微创、安全、可靠的方法,并且具有较好的临床效果。Objective To explore the effectiveness and clinical efficacy of laparoscopic biological mesh repair for adult umbilical hernia.Methods The clinical data of 15 patients undergoing laparoscopic umbilical hernia biological mesh repair from January 2017 to January 2019 in Beijing Chaoyang Hospital were retrospectively analyzed.Results Intraperitoneal onlay mesh were performed in all 15 patients successfully.The hospitalization was 5 to 6 days,with an average of 5.5 days.The follow-up period ranged from 8 to 42 months,with an average of 18 months.There was no recurrence during follow-up;1 case of encapsulated effusion occurred;3 cases of seroma occurred at 1 month after surgery;no chronic pain occurred in the area of abdominal wall after surgery.Conclusion Laparoscopic biological mesh repair of adult umbilical hernia is a minimally invasive,safe and reliable method,and it has good clinical effect.

关 键 词：脐疝 生物补片 腹腔镜 疝修补术 

分 类 号：R656.2[医药卫生—外科学]