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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (02) : 113 -116. doi: 10.3877/cma.j.issn.1674-392X.2020.02.005

所属专题： 文献；

临床论著

杂交技术治疗腹壁复杂切口疝的临床疗效
杨天佑1, 谢佳明1, 吴浩荣1, 谷春伟1,†()   
  1. 1. 215000　江苏省，苏州大学附属第二医院普外科
  • 收稿日期:2019-11-01 出版日期:2020-04-18
  • 通信作者: 谷春伟

Clinical analysis of hybrid technique in the treatment of complicated incisional hernia of abdominal wall

Tianyou Yang1, Jiaming Xie1, Haorong Wu1, Chunwei Gu1,†()   

  1. 1. Department of General Surgery, the Second Affiliated Hospital of Suzhou University, Suzhou 215000, China
  • Received:2019-11-01 Published:2020-04-18
  • Corresponding author: Chunwei Gu
  • About author:
    Corresponding author: Gu Chunwei, Email:
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引用本文：

杨天佑, 谢佳明, 吴浩荣, 谷春伟. 杂交技术治疗腹壁复杂切口疝的临床疗效[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(02): 113-116.

Tianyou Yang, Jiaming Xie, Haorong Wu, Chunwei Gu. Clinical analysis of hybrid technique in the treatment of complicated incisional hernia of abdominal wall[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(02): 113-116.

目的

分析杂交技术治疗腹壁复杂切口疝的临床疗效。

方法

回顾性分析2015年7月至2018年7月，苏州大学附属第二医院采用杂交技术修补腹壁复杂切口疝61例患者的临床资料。

结果

61例复杂切口疝患者手术顺利，其中巨大切口疝46例，疝环缺损（14.46±2.22）cm，复发疝9例，造口旁疝6例，手术时间（140.74±43.24）min，术中出血（59.02±35.20）ml，术后疼痛评分（3.97±0.91）分，术后住院时间（7.54±2.88）d。术后随访12～48个月，术后出现血清肿2例，切口感染1例，慢性疼痛2例，无死亡及复发病例。

结论

杂交技术修补腹壁复杂切口疝是一种安全、可靠的手术方式，值得临床推广。

关键词: 复杂切口疝, 杂交技术, 疗效
Objective

To analyze the clinical effect of hybrid technique on complicated incisional hernia.

Methods

A retrospective study was conducted on 61 patients of complicated incisional hernia who underwent hybrid technique in the Second Affiliated Hospital of Suzhou University during July 2015 and July 2018.

Results

61 patients with complicated incisional hernias successfully operated. Among them, there were 46 cases of huge incisional hernia [the length of incision was (14.46±2.22) cm], 9 cases of recurrent incisional hernia, 6 cases of parastomal hernia. The operation time was (140.74±43.24) minutes, the bleeding during operation was (59.02±35.20) ml, the score of postoperative pain was 3.97±0.91, postoperative hospital stay was (7.54±2.88) days. Patients were followed up for 12 to 48 months. There were 2 cases of seroma, 1 case of wound infection, 2 cases of chronic pain, no death and recurrence.

Conclusion

Hybrid technique is a safe and reliable way to treat the complicated incisional hernia. It's worth promoting.

Key words: Complicated incisional hernia, Hybrid technique, Curative effect
图7 补片套入造口肠管，置入腹腔展平
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