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中华疝和腹壁外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (03) : 161 -164. doi: 10.3877/cma.j.issn.1674-392X.2018.03.001

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综述

腹壁切口疝复发因素及应对策略
陈思宇1, 赵渝1,()   
  1. 1. 400016 重庆医科大学附属第一医院血管疝外科
  • 收稿日期:2017-11-29 出版日期:2018-06-18
  • 通信作者: 赵渝

Recurrent factors and treatment strategy for ventral incisional hernia

Siyu Chen1, Yu Zhao1,()   

  1. 1. Department of Vascular and Hernia Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Received:2017-11-29 Published:2018-06-18
  • Corresponding author: Yu Zhao
  • About author:
    Corresponding author: Zhao Yu, Email:
引用本文:

陈思宇, 赵渝. 腹壁切口疝复发因素及应对策略[J/OL]. 中华疝和腹壁外科杂志(电子版), 2018, 12(03): 161-164.

Siyu Chen, Yu Zhao. Recurrent factors and treatment strategy for ventral incisional hernia[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(03): 161-164.

腹壁切口疝是外科手术后严重并发症,切口疝复发也是国内外疝外科医师的关注焦点之一。其复发受到多因素的影响,如患者因素、修补方式及补片等。如何降低复发率是当今国内外领域一直探讨的问题,补片无张力修补已成为复发切口疝的主要治疗手段之一,针对不同复发切口疝选择合适的修补材料,同时联合一些新技术,如成分分离技术(component separation technique,CST),"三明治"技术(Sandwich technique)能够获得理想的长期修补效果。

The ventral incisional hernia is a serious complication postoperatively, and the recurrence was one of the focuses of surgeons, which was affected by multi-factors, such as patients, repair techniques and meshes. How to decrease recurrence is always being discussed, and mesh repair has become one of the main methods for recurrent incisional hernia. We can obtain approving and long term outcomes by variety and appropriate meshes utilization combining with different new techniques, such as CST, sandwich technique.

图1 前层成分分离示意图
图2 后层成分分离示意图
图3 腹横肌松解示意图
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