切口疝发生原因探讨

Etiological analysis of incisional hernia

作者总结了１９９１年１月～１９９５年１２月５年间收治的腹壁切口疝３３例，结合文献，从疝发生时间、切口部位或方式、切口感染、手术创伤、缝合技术等方面对切口疝的发生原因进行了分析讨论。作者认为以卜几个方面对切口疝的预防有重要意义：（１）要高度重视切口疝感染的预防；（２）在可能的情况下，腹部手术尽量采用横向切口；（３）急性胆囊炎及急性阑尾炎术后切口感染率及切口疝发生率高，要重点预防；（４）术后半年内是切口疝发生的高峰期；（５）年龄大于５０岁者，腹部手术后发生切口疝的危险性大大增加。

Abstract: The present study was aimed at exploring the etiology of ventral incisional hernia based on clinical analysis of 33 cases treated at our department from January, 1991 to December, 1995. The analysis was completed through the following relevant parameters:herniating time, the location and patterns of incision,infection of incision,operative trauma,suturing technique and patient's age etc. The authors believe that the most important etiological factors involved in the development of incisional hernia were: (1) Wound infection;(2) Vertical incision; (3)The incisions for acute cholecystitis and acute appendicitis; (4) High risk was within half year postoperatively; (5)Over 50 years of age.