中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2014年
4期
358-360
,共3页
疝%疝修补术%腹腔镜
疝%疝脩補術%腹腔鏡
산%산수보술%복강경
Hernia%Herniorrhaphy%Laparoscopes
目的：总结腹壁切口疝的病因、手术方式，预防切口疝并发症的发生。方法回顾性分析2012年1月至2013年12月，河北省赤城县人民医院收治的腹壁切口疝患者32例，对病因、手术方式、手术时间等临床资料进行分析和总结。结果32例患者均顺利完成手术，手术时间45～220 min，平均（115±9）min；术后住院4～15 d，平均（7±1）d。补片感染6例，局部换药1个月未愈，后经取出补片后治愈。血清肿6例，经局部穿刺抽液后治愈。膨出2例，因腹部不适症状明显而再次行腹腔镜切口疝修补术（LVHR），术后随访16个月，无再次膨出。腹壁钉合区域疼痛9例，均予止痛药治疗，3～6周后基本缓解。术后随访2～36个月，无复发。结论 LVHR具有手术时间短、恢复快、术后并发症少、复发率低等优势。随着腹腔镜技术的普及，LVHR将会为更多患者所接受。
目的：總結腹壁切口疝的病因、手術方式，預防切口疝併髮癥的髮生。方法迴顧性分析2012年1月至2013年12月，河北省赤城縣人民醫院收治的腹壁切口疝患者32例，對病因、手術方式、手術時間等臨床資料進行分析和總結。結果32例患者均順利完成手術，手術時間45～220 min，平均（115±9）min；術後住院4～15 d，平均（7±1）d。補片感染6例，跼部換藥1箇月未愈，後經取齣補片後治愈。血清腫6例，經跼部穿刺抽液後治愈。膨齣2例，因腹部不適癥狀明顯而再次行腹腔鏡切口疝脩補術（LVHR），術後隨訪16箇月，無再次膨齣。腹壁釘閤區域疼痛9例，均予止痛藥治療，3～6週後基本緩解。術後隨訪2～36箇月，無複髮。結論 LVHR具有手術時間短、恢複快、術後併髮癥少、複髮率低等優勢。隨著腹腔鏡技術的普及，LVHR將會為更多患者所接受。
목적：총결복벽절구산적병인、수술방식，예방절구산병발증적발생。방법회고성분석2012년1월지2013년12월，하북성적성현인민의원수치적복벽절구산환자32례，대병인、수술방식、수술시간등림상자료진행분석화총결。결과32례환자균순리완성수술，수술시간45～220 min，평균（115±9）min；술후주원4～15 d，평균（7±1）d。보편감염6례，국부환약1개월미유，후경취출보편후치유。혈청종6례，경국부천자추액후치유。팽출2례，인복부불괄증상명현이재차행복강경절구산수보술（LVHR），술후수방16개월，무재차팽출。복벽정합구역동통9례，균여지통약치료，3～6주후기본완해。술후수방2～36개월，무복발。결론 LVHR구유수술시간단、회복쾌、술후병발증소、복발솔저등우세。수착복강경기술적보급，LVHR장회위경다환자소접수。
Objective To summarize the etiology and operation methods of incisional hernia,and to prevent the complications of incisional hernia.Methods A total of 32 cases of incisional hernia who were admitted and treated between January 201 2 and December 201 3 in Chicheng People′s Hospital,were enrolled and retrospectively analyzed.Clinical data such as etiology,operation methods,and operation time were summarized and analyzed.Results All patients underwent the operations successfully.The mean operation was (1 1 5 ±9)minutes (range 45 to 220 minutes);the average length of postoperative stay was (7 ±1 )days (range 4 to 1 5 days).6 cases of mesh infection occurred,and one of them was no cured by local treatment until the mesh was removed.Seroma (6 cases)were cured after local puncture.Reherniation occurred in 2 cased,who received LVHR again due to abdominal discomfort symptom,and no more bulge was found after 1 6 months of follow-up.There were 9 cases of staple related abdominal wall pain,who reliefed in 3 to 6 weeks after giving painkillers.After 2 to 36 months of follow-up,no recurrence was found. Conclusion LVHR has proven to have the advantages of short operation time,rapid recovery,fewer complications and recurrence rate,etc.With the popularity of laparoscopic technique,LVHR will be more accepted by patients.
