【摘要】 目的 探讨腹壁切口疝的防治方法 。方法 对61例腹壁切口疝病人的高危诱因、治疗和随访进行回顾性分析。结果 61例切口疝,腹部纵行切口52例,切口感染37例,合并糖尿病15例,慢性支气管炎16例,营养不良15例;切口疝发生在6个月以内者33例。61例病人均采用肌鞘前修补方法 (Onlay法)进行手术修补,并发症发生率为16.4%,其中血清肿7例,切口感染2例,复发1例。结论 腹壁纵行切口、切口感染、糖尿病、腹内压增高及营养状况等因素是腹壁切口疝的危险因素,术后半年内是腹壁切口疝发生的高峰期,Onlay术式安全有效,复发率低。更多还原

【Abstract】 Objective To explore the prevention and treatment of incisional hernia of abdominal wall.Methods Retrospective analyses were conducted for the causes and treatments of 61 cases of incisional hernia.Results Among them,there were longitudinal incision(n = 52),incision infection(n= 37),concurrent diabetes mellitus(n= 15),chronic bronchitis(n= 16) and malnutrition(n= 15).And incisional hernia occurred within 6 months in 33 cases.All cases underwent repairing through the Onlay method.The complication rate was 16.4%.And the outcomes were seroma(n= 7),wound infection(n = 2) and recurrence(n= 1).Conclusions Lxingitudinal incision,incision infection,diabetes mellitus,elevated abdominal pressure,nutritional status and other factors are the main etiologies of incisional hernia of abdominal wall.Postoperative half a year has a peak incidence.And Onlay method is both safe and effective with a low recurrence rate.更多还原