杂交技术治疗腹壁复杂切口疝的临床疗效

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。

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

ObjectiveTo analyze the clinical effect of hybrid technique on complicated incisional hernia. MethodsA 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. Results61 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. ConclusionHybrid technique is a safe and reliable way to treat the complicated incisional hernia. It's worth promoting.