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[1]姚 宁,方旭东,姜朝晖,等.无张力修补巨大腹壁切口疝23例[J].医学研究与战创伤救治(原医学研究生学报),2011,13(04):317-318.
　YAO Ning,FANG Xu-dong,JIANG Chao-hui,et al.Experience of repairing large abdominal incisional hernia without tension in 23 patients[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(04):317-318.
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无张力修补巨大腹壁切口疝23例()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第13卷
期数:
2011年04期
页码:
317-318
栏目:
出版日期:
2011-07-20

文章信息/Info

Title:
Experience of repairing large abdominal incisional hernia without tension in 23 patients
文章编号:
1672-271X(2011)04-0317-02
作者:
姚 宁; 方旭东; 姜朝晖; 方晓明
310013 浙江杭州，解放军117医院普通外科
Author(s):
YAO Ning; FANG Xu-dong; JIANG Chao-hui; FANG Xiao-ming.
Department of General Surgery,117 Hospital of PLA,Hangzhou,Zhejiang 310013,China
关键词:
切口疝; 腹壁; 补片; 外科手术
Keywords:
incisional henia;  abdominal wall;  mesh;  surgical operation
分类号:
R656.2+3
DOI:
-
文献标志码:
A
摘要:
目的 总结应用补片无张力修补巨大腹壁切口疝的经验。方法 回顾性分析2000年6月至2009年8月23例巨大腹壁切口疝的诊治过程。结果 23例均用补片进行修补，其中14例采用聚丙烯Marlex网片，9例采用Composix复合补片，术后无严重并发症发生，随访5～48个月无复发。结论 掌握正确的修补方法和材料，以及必要的围手术期处理，是治疗腹壁巨大切口疝的关键。
Abstract:
Objective To summarize the clinical experience of repairing large abdominal incisional hernia by mesh.Methods The clinical data of 23 cases with large incisional henia from Jun 2000 to Aug 2009 were analyzed retrospectively.Results All cases received repairing operation by mesh,in 14 cases by Bards Marlex mesh and in 9 cases by Bards Composix mesh.No serious complication happened after operation.During a following-up of 5 to 48 months,none of the cases recurred.Conclusion Using correct repairing way,suitable material and necessary peri-operative treatment are the keys to cure large abdominal incisional henia.

参考文献/References:

[1]中华医学会外科学分会疝和腹壁外科学组.成人腹股沟疝、股疝和腹部手术切口疝手术治疗方案(2003年修订稿)[J].中华外科杂志,2004,42(14):834-835.
[2]Manninen MJ,Lavornius M,Perhonieme VJ.Results of incisional hernia repair:a retrospective study of 172 unselected herniaoplasties[J].Eur J Surg,1991,157(1):29-31.
[3]陈 双,杨 斌.腹壁巨大切口疝术前评估及准备[J].中国实用外科杂志,2008,28(12):1017-1019.
[4]李基业,马颂章.腹部手术切口疝手术治疗方案(草案)[J].中华普通外科杂志,2004，19(20):125-126.
[5]Luijendijk RW,Hop WC,Vanden Tol MP,et al.A comparison of suture repair with mesh repair for incisional henia[J].N Engl J Med,2000,243(4):392-398.
[6]Flum DR,Horvath K,Koepsell T.Have outcomes of incisional henia repair improved with time?A population based analysis[J].Ann Surg,2003,237(5):129-135.
[7]李基业.疝修补材料类型及有关并发症[J].临床外科杂志,2006，(14):687-689.
[8]唐建雄.腹壁切口疝诊断和治疗中值得注意的几个问题[J].中国实用外科杂志,2008,28(12):1012-1014.
[9]韩加刚,马颂章,宋家琨,等.应用人工材料修补腹壁切口疝61例报告[J].中华外科杂志,2006,44(11):782-783.
[10]唐建雄.腹壁巨大切口疝手术方法的选择[J].腹部外科,2009,22(3):133-134.

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备注/Memo:
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更新日期/Last Update: 2011-07-20