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人工合成补片修补腹壁切口疝临床探讨
引用本文:王嘉,安伟德,邓中慧,朴京华,李玉文,张伟国,胡松伯,姜超.人工合成补片修补腹壁切口疝临床探讨[J].中华疝和腹壁外科杂志(电子版),2008,2(3):23-25.
作者姓名:王嘉  安伟德  邓中慧  朴京华  李玉文  张伟国  胡松伯  姜超
作者单位:大连医科大学附属第一医院普外科,116011
摘    要:目的探讨人工合成补片修补腹壁切口疝的有效方法。方法回顾性分析2004年3月至2008年9月经我院诊治的34例腹壁切口疝患者的临床资料。其中10例行肌筋膜前置补片修补法(Onlay),22例行腹膜前置补片修补法(Sublay),2例肌间置补片修补法(Inlay)。结果34例均痊愈出院,无严重并发症,随访1—54个月,Onlay组复发2例,Sublay组复发1例,Inlay组复发1例。结论Sublay治疗腹壁切口疝复发率低,是治疗腹壁切口疝的理想方法。

关 键 词:  再手术  补片

Analysis of repairing abdominal incisional hernias with mesh
Authors:WANG Jia  AN Wei-de  DENG Zhong-hui  PIAO Jing-hua  LI Yu-wen  ZHANG Wei-guo  HU Song-bo  JIANG Chao
Institution:(Department of General Surgery, the First Affiliated Hospital of Dalian Medical Universitiy,Dalian 116011, China)
Abstract:Objective To discuss clinical effective methods of repairing abdominal incisional hernias with mesh.Methods Thirty-four cases of abdominal incisional hernia were analyzed retrospectively in our hospital from Mar.2004 to Sep.2008. 10 cases were repaired with Onlay,22 cases with Sublay and 2 cases with Inlay.Results The cases were all cured, and had no serious postoperative complications.Among all cases followed up during 1~54 months, 2 cases recurred in the group of Onlay, each 1 case recurred in the group of Sublay and Inlay. Conclusions Sublay is a lower recurernce rate method,thus it,s considered as a satisfactory mode of the repair on abdominal incisional hernias.
Keywords:Hernia  Reoperation  Mesh
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