生物补片修补巨大复发性腹壁切口疝临床疗效分析  

Clinical analysis of giant and recurrent abdominal wall incisional hernia repair with biological mesh

作　　者：皮尔地瓦斯·麦麦提玉素甫[1] 李慧灵[1] 艾克拜尔·艾力[1] 李赞林[1] 王志[1] 克力木·阿不都热依木[1] Pierdiwasi Maimaitiyusufu;Li Huiling;Aikebaier Aili;Li Zanlin;Wang Zhi;Kelimu Abudureyimu(Department of Minimally Invasive,Hernia,and Abdominal Surgery,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830000,China)

机构地区：[1]新疆维吾尔自治区人民医院微创、疝与腹壁外科,乌鲁木齐830000

出　　处：《中华疝和腹壁外科杂志(电子版)》2024年第6期624-628,共5页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：国家自然科学基金(82060166)。

摘　　要：目的观察生物补片在复杂性、复发性、感染性切口疝修补术中的临床疗效。方法回顾性分析2014年8月至2019年11月,新疆维吾尔自治区人民医院行腹壁切口疝生物补片修补术的32例巨大型、复发性、感染性切口疝患者的临床资料,观察其手术时间、出血量、并发症发生率及切口疝复发等情况。结果32例患者均手术顺利,其中有巨大的复发性切口疝25例,巨大感染性复发性切口疝7例(其中3例伴肠瘘)。手术时间为(2.7±0.8)h,术中出血量为(235.0±80.1)ml,切口均一期愈合。有2例出现切口积液,1例术后出现切口表皮感染,经对症处理后好转,无迟发感染。随访48个月,有2例复发,无其他相关并发症。结论生物补片用于感染性复发性巨大切口疝安全可行,近期效果良好,尤其感染性切口疝可优先选择。Objective To evaluate the clinical efficacy of biological mesh in giant,recurrent and/or infectious incisional hernia repair.Methods A retrospective analysis was conducted on 32 patients with giant,recurrent,and infected incisional hernias who underwent abdominal wall hernia repair with biological mesh in People's Hospital of Xinjiang Uygur Autonomous Region from August 2014 to November 2019.Clinical outcomes,including operative time,intraoperative blood loss,complication rates,and hernia recurrence,were assessed.Results All 32 patients underwent successful surgeries,including 25 cases of giant recurrent incisional hernias and 7 cases of giant infected recurrent incisional hernias(3 of which were accompanied by enteroatmospheric fistulas).The mean operative time was(2.7±0.8)hours,and the mean intraoperative blood loss was(235.0±80.1)ml.Primary wound healing was achieved in all cases.Two patients developed postoperative wound seromas,and one patient experienced superficial wound infection,which resolved with symptomatic treatment.No delayed infections were observed.During a 48-month follow-up,two cases of hernia recurrence were identified,with no other significant complications.Conclusion The use of biological mesh for the repair of giant infected recurrent incisional hernias is safe and feasible,demonstrating favorable short-term outcomes.It should be considered a preferred option,particularly for infected incisional hernias.

关 键 词：切口疝 巨大疝 复发疝 感染性疝 生物补片 

分 类 号：R65[医药卫生—外科学]