CAJ | 학술논문

目的探讨腹壁大切口疝治疗经验。方法对我院采用补片行开放式腹壁大切口疝修补术的211例病人临床资料进行回顾性分析。结果手术平均时间为80 min(45~190 min),术中出血为15~90 ml,平均35.6 ml；术中无血管和内脏损伤等并发症。术后3~7 d(平均4.9 d)下床活动；平均住院时间为6.3 d(2~16 d)。1例病人由于网膜出血进行了急诊二次手术。2例病人由于皮下出血,于手术后2~6 h 进行了伤口修整术。211例病人长期随访 (60~178个月),有6例病人(2.8%)出现疝复发,所有病例无慢性疼痛。结论应用膨化聚四氟乙烯补片行开放式腹壁大切口疝修补术是一种安全、可靠的方法,复发率低。
목적탐토복벽대절구산치료경험。방법대아원채용보편행개방식복벽대절구산수보술적211례병인림상자료진행회고성분석。결과수술평균시간위80 min(45~190 min),술중출혈위15~90 ml,평균35.6 ml；술중무혈관화내장손상등병발증。술후3~7 d(평균4.9 d)하상활동；평균주원시간위6.3 d(2~16 d)。1례병인유우망막출혈진행료급진이차수술。2례병인유우피하출혈,우수술후2~6 h 진행료상구수정술。211례 병 인 장 기 수 방 (60~178개월),유6례병인(2.8%)출현산복발,소유병례무만성동통。결론응용팽화취사불을희보편행개방식복벽대절구산수보술시일충안전、가고적방법,복발솔저。
Objective To explore the clinical experiences of large abdominal wall incision herni-a.Methods The clinical data of 21 1 cases undergoing open mesh repair of large abdominal incision hernia were analyzed retrospectively.Results The average operative duration was 80 (45-190)min and average intraoperative bleeding volume 35.6 (1 5-90)ml.There was no complication of vessel or viscera injury.The average postoperative activity time was 4.9 (3-7)days and average hospitalization stay 6.3 (2-16)days.One case underwent emergency reoperation because of omentum hemorrhage. There were 2 cases of wound reconstruction in 2-6 hours post-operation because of subcutaneous hem-orrhage.Hernia recurred in 6 patients (2.8%).No chronic pain appeared during a long-term follow-up period of 60-1 78 months.Conclusions Laparoscopic repair of large abdominal incision hernia with expanded polytetrafluoroethylene patch is both effective and safe with a low recurrence rate.