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中华疝和腹壁外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (03) : 218 -223. doi: 10.3877/cma.j.issn.1674-392X.2020.03.003

所属专题: 文献

新技术·新方法

渐进性关腹术:一种新的暂时性腹腔关闭术后早期确定性腹壁关闭技术
张连阳1,(), 谭嘉鑫1   
  1. 1. 400042 重庆,陆军军医大学大坪医院,战创伤医学中心,创伤烧伤与复合伤国家重点实验室
  • 收稿日期:2020-03-28 出版日期:2020-06-18
  • 通信作者: 张连阳
  • 基金资助:
    陆军军医大学临床技术创新培育项目(CX2019JS109); 创伤、烧伤与复合伤国家重点实验室自定研究课题(SKLZZ201603)

Progressive abdominal closure: A novel early abdominal closure after temporary abdominal closure

Lianyang Zhang1(), Jiaxin Tan1   

  • Received:2020-03-28 Published:2020-06-18
  • Corresponding author: Lianyang Zhang
引用本文:

张连阳, 谭嘉鑫. 渐进性关腹术:一种新的暂时性腹腔关闭术后早期确定性腹壁关闭技术[J]. 中华疝和腹壁外科杂志(电子版), 2020, 14(03): 218-223.

Lianyang Zhang, Jiaxin Tan. Progressive abdominal closure: A novel early abdominal closure after temporary abdominal closure[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(03): 218-223.

图1 1例腹部刀刺伤后26 d仍腹腔开放的患者,筋膜层缺损从10 cm,经过3次手术,每次拉拢2.5 cm,最终实现了早期腹部切口的确定性关闭
图2 渐进性关腹术第1次手术,腹壁筋膜层牵拉环制作
图3 渐进性关腹术第1次手术,腹壁与肠管间暂时性衬垫多孔塑料薄膜,塑料薄膜表面覆盖聚乙烯醇泡沫
图4 渐进性关腹术第1次手术,适度拉紧两侧牵拉环维持筋膜层紧张度
图5 渐进性关腹术第2次手术,逐渐拉紧两侧牵拉环,缩小筋膜层缺损2 cm
图6 渐进性关腹术最后一次手术,腹膜外减张,确定性关闭腹壁切口
图7 渐进性关腹术临床应用流程图
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