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中华疝和腹壁外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (02) : 97 -101. doi: 10.3877/cma.j.issn.1674-392X.2020.02.001

所属专题: 文献

综述

腹壁切口疝的发生及其预防措施
郭晨晨1, 邵翔宇2, 程韬2, 李俊生2,()   
  1. 1. 210009 南京,东南大学医学院
    2. 210009 南京,东南大学附属中大医院普外科
  • 收稿日期:2019-12-01 出版日期:2020-04-18
  • 通信作者: 李俊生

Occurrence and prevention of ventral incisional hernia

Chenchen Guo1, Xiangyu Shao2, Tao Cheng2, Junsheng Li2,()   

  1. 1. School of medicine, Southeast University, Nanjing 210009, China
    2. Department of General Surgery, Zhongda Hospital, Southeast University, Nanjing 210009, China
  • Received:2019-12-01 Published:2020-04-18
  • Corresponding author: Junsheng Li
  • About author:
    Corresponding author: Li Junsheng, Email:
引用本文:

郭晨晨, 邵翔宇, 程韬, 李俊生. 腹壁切口疝的发生及其预防措施[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(02): 97-101.

Chenchen Guo, Xiangyu Shao, Tao Cheng, Junsheng Li. Occurrence and prevention of ventral incisional hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(02): 97-101.

腹壁切口疝是外科剖腹术后的一种常见并发症,多见于腹主动脉瘤或肥胖症患者。切口疝的发生会给患者带来疼痛和不适,有时甚至可引起肠梗阻和肠绞窄,导致患者死亡,不仅严重损害了患者的生命健康,也给医疗保障体系带来了沉重的经济负担。近年来,通过选择适合的手术材料(缝线、补片等)和不断优化改良腹壁切口闭合手术技术,有效预防了患者术后切口疝的发生,减少了术后致残率,并节约了医疗成本。本文就腹壁切口疝的发生率、相关危险因素、治疗现状以及预防措施进行阐述。

Ventral incisional hernia is a frequent complication following laparotomies, especially in patients with abdominal aortic aneurysms or obesity. An incisional hernia may bring pain and discomfort to patients. Moreover, obstruction and strangulation of bowel caused by an incisional hernia may result in death of the patient. Furthermore, incisional hernias not only affect patients' health, it also creates a heavy financial burden for the healthcare system. In recent years, optimizing surgical techniques and materials to close abdominal wall incision holds the potential of preventing the development of incisional hernias, reducing postoperative disability, and saving costs in the healthcare system. The incidence, related risk factors, currently treatment status and prevention of incisional hernia will be elaborated in this review.

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