腹膜前间隙补片修补术治疗腹壁切口疝的临床分析.docVIP

精品论文 参考文献 腹膜前间隙补片修补术治疗腹壁切口疝的临床分析 田金峰 　　（山东省临沂市沂水县结核病防治所 山东 临沂 276400） 　　【摘要】 目的：探讨腹膜前间隙补片修补术治疗腹壁切口疝的临床效果。方法：2013年1月到2015年12月选择在我院外科诊治的腹壁切口疝患者36例，根据随机数字表法分为治疗组与对照组各18例，对照组采用肌前修补治疗，治疗组采用腹膜前间隙补片修补术治疗。结果：所有患者都顺利完成手术，治疗组的手术时间与术后住院时间明显少于对照组(Plt;0.05)。治疗组术后1个月的并发症发生情况明显少于对照组(Plt;0.05)。结论：腹膜前间隙补片修补术治疗腹壁切口疝，创伤小，手术简单快速，术后并发症少，有很好的推广价值。 　　【关键词】 腹膜前间隙补片；修补治疗；腹壁切口疝；并发症 　　【中图分类号】R656.2 【文献标识码】A 【文章编号】2095-1752（2016）11-0039-02 　　Clinical analysis of preperitoneal space patch hernioplasty in the treatment of incisional hernia Tian Jinfeng. 　　Tuberculosis Prevention and Cure Hospital of Yishui county, Shandong Province, Linyi,276400.China 　　【Abstract】Objective To discuss the clinical effect of preperitoneal space patch hernioplasty in the treatment of incisional hernia. Methods 36 cases of incisional hernia patients were selected and randomly divided into the treatment group and the control group with each 18 cases. Control group received rectus abdominis anterior sheath hernioplasty, treatment group recevied preperitoneal space patch hernioplasty. Results All patients were successfully operated. The treatment grouprsquo;s operative time and postoperative hospital stay time were significantly less than the control group (Plt;0.05). Complications in treatment group after 1 month of surgery were significantly fewer than control group (Plt;0.05). Conclusion Preperitoneal space patch hernioplasty treating incisional hernia can reduce the trauma and itrsquo;s simple and fast, thereby reduces the incidence of postoperative complications and has a very good promotional value. 　　【Key words】Preperitoneal space patch; Repair treatment; Incisional hernia; Complications 　　腹壁切口疝是腹内脏器或组织经腹壁切口突出的疝，当前在我国的发病率呈现明显增加的趋势，也是腹部手术的常见并发症之一[1]。腹壁切口疝需要进行手术治疗，因其无自愈可能，其中补片修补治疗已经公认效果良好[2]。本文具体探讨了腹膜前间隙补片修补术治疗腹壁切口疝的临床效果，现报道如下。 　　1.资料与方法 　　1.1 研究对象 　　2013年1月到2015年12月选择在我院外科诊治的腹壁切口疝患者36例，纳入标准：符合腹壁切口疝的诊断标准；年龄20～80岁，适合手术后治疗；右侧腹壁切口疝；发病时间为术后12个月之内；无严重心肝肾异常；无伴发恶性肿瘤；知情同意本研究。其中男2