巨大腹壁切口疝的补片修补治疗(附23例报告)  

Surgical Repair of Large Abdominal Incisional Hernia by Mesh(Analysis of 23 cases)

作　　者：钱敏[1] 陈革[1] 唐健雄[1] 黄磊[1] 

机构地区：[1]上海市华东医院普外科,200040

出　　处：《外科理论与实践》2002年第6期434-435,共2页Journal of Surgery Concepts & Practice

摘　　要：总结临床治疗巨大腹壁切口疝的经验和方法。方法:回顾性分析23例巨大腹壁切口疝病人的年龄、手术方法、引流放置、抗生素应用及预后。结果:发生巨大腹壁切口疝平均年龄是65.3岁;均采用人工合成材料进行修补;术后放置引流,并使用预防性抗生素。治愈21例,复发2例。结论:常见于老年病人腹部手术后巨大腹壁切口疝,可使用人工合成材料进行修补,并获得良好疗效。Objective:To review the clinical experience in treating large abdominal incisional hernias.Methods:Twenty three cases of large abdominal incisional hernia were analyzed in respect to the age,method of repair,postoperative drainage,use of prophylactic antibiotics and prognosis.Results:The average age of the patients was65.3.All the patients were treated by repair with a Bard mesh.Postoperative drainage and prophylactic antibiotics were used in every case.Twenty one patients were cured and2had recurrence.Conclusions:In large abdominal incisional hernia which occurs,espe cially in the elderly,surgical repair by mesh could offer a good chance of cure.

关 键 词：腹壁切口疝 修补术 补片 腹部手术 并发症 临床特点 

分 类 号：R656.24[医药卫生—外科学]