| 人工补片修复腹部恶性肿瘤体内应用的远期效应 |
| |
| 引用本文： | 王刚成,刘林嶓,任莹坤,张薛磊,韩广森. 人工补片修复腹部恶性肿瘤体内应用的远期效应[J]. 中国组织工程研究与临床康复, 2011, 15(51). DOI: 10.3969/j.issn.1673-8225.2011.51.043 |
| |
| 作者姓名： | 王刚成 刘林嶓 任莹坤 张薛磊 韩广森 |
| |
| 作者单位： | 1. 郑州大学附属肿瘤医院,河南省肿瘤医院,普外科,河南省郑州市,450008
2. 郑州大学第一附属医院整形外科,河南省郑州市,450002 |
| |
| 摘 要： | 背景:人工补片容易与腹部肠管粘连,甚至出现肠梗阻,为肿瘤复发的再次手术切除带来了巨大困难.目的:观察腹部恶性肿瘤切除后,应用人工补片修复腹壁缺损所带来的远期临床效应.方法:回顾性分析因腹部肿瘤切除致腹部缺损患者26例,补片修复腹壁组16例应用聚丙烯类网片、膨体聚四氟乙烯补片和复合补片修复;直接拉拢缝合组10例未用人工补片修复,直接缝合皮下组织及皮肤.比较两组患者的腹壁疝、肠梗阻、再次手术开腹情况.结果与结论:随访2~10年,补片修复腹壁组16例均未出现腹部疝,6例出现肠梗阻(聚丙烯类网片3例,膨体聚四氟乙烯补片1例,复合补片2例),7例因肿瘤复发再次手术,补片(聚丙烯类网片4例,膨体聚四氟乙烯补片1例,复合补片2例)与肠粘连严重,入腹困难.直接拉拢缝合组10例均出现腹壁疝,4例因肿瘤复发再次手术,肠粘连轻,入腹顺利.提示人工补片修复腹壁缺损能预防切口疝的发生,但容易导致腹腔粘连,严重影响腹部肿瘤复发再次手术.
|
| 关 键 词： | 腹壁缺损 人工补片 肿瘤复发 再次手术 远期效应 |
Long-term clinical effect of artificial mesh application in the repair of abdominal malignant tumor in vivo |
| |
| Wang Gang-cheng,Liu Lin-bo,Ren Ying-kun,Zhang Xue-lei,Han Guang-sen. Long-term clinical effect of artificial mesh application in the repair of abdominal malignant tumor in vivo[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2011, 15(51). DOI: 10.3969/j.issn.1673-8225.2011.51.043 |
| |
| Authors: | Wang Gang-cheng Liu Lin-bo Ren Ying-kun Zhang Xue-lei Han Guang-sen |
| |
| Affiliation: | Wang Gang-cheng1,Liu Lin-bo2,Ren Ying-kun1,Zhang Xue-lei1,Han Guang-sen1 1Department of General Surgery,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450008,Henan Province,China,2Department of Plastic Surgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450002 |
| |
| Abstract: | BACKGROUND:Artificial mesh is easily adhesive with the abdominal bowel and even lead to intestinal obstruction.This may bring great difficulty to re-operation of the recurrence tumor.OBJECTIVE:To evaluate the long-term clinical effect of artificial mesh on repairing abdominal wall defect after abdominal malignant tumor resection. METHODS:Twenty-six abdominal wall defect patients resulted in abdominal malignant tumor resections were involved for retrospective analysis.Sixteen of them in the artificial mesh g... |
| |
| Keywords: | |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
