肌后间隙修补法治疗腹壁切口疝患者的疗效

目的探讨肌后间隙修补法（Sublay）在腹壁切口疝患者治疗中的手术效果。 方法回顾性分析2015年1月至2017年8月，首都医科大学附属北京朝阳医院疝和腹壁外科107例行Sublay手术的腹壁切口疝患者的临床资料，分析患者的一般资料、手术方法、并发症及术后转归情况，随访其有无切口疝复发及补片相关并发症发生情况。 结果本组患者均顺利完成手术，平均手术时间（60.3±7.8）min，平均住院时间（17.6±5.3）d，所有患者术后恢复良好，2例患者出现脂肪液化，经换药后伤口愈合；1例患者出现皮下血肿，1例患者出现血清肿，经局部加压保守治疗后治愈，无伤口感染及局部异物感，无死亡患者。随访时间6～38个月，平均随访时间（22.7±10.8）个月，无切口疝复发，无死亡患者，无补片感染、慢性疼痛及局部异物感等补片相关并发症发生。 结论肌后间隙修补手术（Sublay）治疗腹壁切口疝结果满意，手术疗效较好。

Study of retromuscular mesh repair in the treatment of incisional hernias

ObjectiveTo study the clinical effect of retromuscular mesh repair for incisional hernias. MethodsA retrospective study was conducted on 107 patients of incisional hernia who underwent Sublay operation in Beijing Chao-Yang Hospital during January 2015 and December 2017. Demographic data, surgical technique, postoperative complications and postoperative recovery were analyzed. ResultsAll the operations successfully completed. The mean operation time was (60.3±7.8) minutes. The mean hospitalization was (17.6±5.3) days. 2 patients developed incision fat liquefaction and finally recovered by continuous dressing changes. 1 patient had wound hematoma and 1 patient had seroma, were treated conservatively. There was no recurrence during the mean follow-up time of (22.7±10.8) months (range 4 to 40 months). No mesh related complications such as mesh infection, chronic postoperative pain and foreign body sensation was detected. ConclusionRetromuscular mesh repair (Sublay) for incisional hernia is an effective and effective method.