摘要
目的总结应用杂交技术修补腹壁切口疝的有效性、安全性及临床疗效。方法对上海交通大学医学院附属第六人民医院2011年1月至2016年1月，应用杂交技术修补腹壁切口疝58例患者的临床资料进行回顾性分析。结果手术时间40～160（92±30）min，缺损最大径为2～25（8±6）cm，补片大小为150～600（273±108）cm2。术后住院时间为6～15（9．3±2．1）d，切口浅表感染3例（5．8％），浆液肿2例（3．4％），术后早期腹壁疼痛8例（13．7％）。无肠道损伤、肠梗阻、伤口出血、补片感染和补片膨出等并发症，术后随访3—53个月，无复发病例。结论应用杂交技术修补腹壁切口疝安全可靠、疗效确切、术后恢复快，尤其适用于复杂、巨大腹壁切口疝。
Objective To explore therapeutic effect of a combined laparoscopic and open technique （hybrid technique） for the repair of incisional hernia. Methods A retrospective analysis was made in 58 incisional hernias during January 2011 to January 2016. Results All cases were operated successfully and recovered uneventfully. The operating time was 40 to 160 （92 ± 30） minutes. The diameter of the hernia ring to 2 to 25 （8 ±6） cm and the mesh size was 150 to 600 （273 ± 108） cm2. Postoperative hospital time was 6 to 15 （9.3 ± 2.1 ） days. Postoperative complications included incision infection （n = 3, 5.8% ）, seroma （n=2, 3.4%）, abdominal pain （n = 8, 13.7% ）. All of them were cured with conservative treatment. No patient developed massive haemorrhage, bulging, mesh infection. No recurrence occurced during the follow- up of 3 to 53 months. Conclusion Hybrid technique is a safe and effective procedure for ineisional hernia repair especially for large complicated hernias.
出处
《中华疝和腹壁外科杂志（电子版）》
2016年第4期248-251,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
疝修补术
杂交技术
Hernia
Herniorrhaphy
Hybrid technique
