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肾移植术后切口疝的临床诊治
引用本文:龙成美,李新长,时军,徐志丹,罗文峰,罗来邦,张友福. 肾移植术后切口疝的临床诊治[J]. 实用临床医学(江西), 2012, 0(8): 46-47
作者姓名:龙成美  李新长  时军  徐志丹  罗文峰  罗来邦  张友福
作者单位:江西省人民医院器官移植科,南昌330006
摘    要:目的探讨肾移植术后切口疝的治疗。方法对收治的5例肾移植术后切口疝(3例外院,2例本院)患者均采用聚丙烯疝补片无张力修补手术治疗。结果 5例患者手术均顺利,手术平均时间为(1.5±0.3)h,住院平均时间8 d,均痊愈出院。术后随访1年均未复发,且对移植肾功能无明显影响。结论肾移植术后切口疝的诱发因素较多,治疗以疝补片无张力修补术为佳。

关 键 词:肾移植  切口疝  疝修补术

Clinical Diagnosis and Treatment of Incisional Hernia after Renal Transplantation
LONG Cheng-mei,LI Xing-chang,SHI Jun,XU Zhi-dan,LUO Wen-feng,LUO Lai-bang,ZHANG You-fu. Clinical Diagnosis and Treatment of Incisional Hernia after Renal Transplantation[J]. Practical Clinical Medicine, 2012, 0(8): 46-47
Authors:LONG Cheng-mei  LI Xing-chang  SHI Jun  XU Zhi-dan  LUO Wen-feng  LUO Lai-bang  ZHANG You-fu
Affiliation:(Department of Organ Transplantation,Jiangxi Provincial People’s Hospital,Nanchang 330006,China)
Abstract:Objective To explore the treatment of incisional hernia after renal transplantation.Methods Polypropylene hernia patch was used in tension-free herniorrhaphy for incisional hernia after renal transplantation in 3 patients from other hospitals and 2 patients from our hospital.Results The operation was successfully performed in all 5 patients.Mean operative time was(1.5 ±0.3)hours and average hospital stay was 8 day.All patients were cured and discharged from hospital.No recurrences and renal dysfunctions were found during 1 year of follow-up.Conclusion Many factors are likely to trigger incisional hernia after renal transplantation.Tension-free herniorrhaphy with polypropylene hernia patch is optimal for treating incisional hernia after renal transplantation.
Keywords:renal transplantation; incisional hernia; herniorrhaphy
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