复合材料对腹壁肿瘤切除术后遗留巨大腹壁缺损修补的疗效分析（附45例报告）

An analysis about effection of repair to the large defect with compound patch after the resection of tumors in the abdominal wall（ a report of 45 cases ）

目的探讨复合材料对腹壁肿瘤切除术后遗留巨大腹壁缺损修补的疗效。方法回顾性分析45例腹壁肿瘤患者以强生Proceed补片或巴德Composix Kugel补片进行腹壁缺损修补的手术方法及随访资料。结果3例术中分离时切开肠管，6例术后发现皮下浆液性水肿。全部患者随访6个月至5年，3例因腹腔内肿瘤复发死亡，所有患者无感染、切口疝发生，无局部不适。结论复合材料补片具有抗粘连、切口疝发生率低等优点，可在腹壁肿瘤切除术后遗留巨大腹壁缺损的修补手术中加以应用。

Objective To investigate the effection of repair to the large defect with compound patch after the resection of tumors in the abdominal wall. Methods The operative and follow-up data of 45 patients diagnosed tumors in the abdominal wall and repaired by the compound patch were analyzed retrospectively. Results Bowels trauma happened in 3 cases and seroma formation was detected in 6 cases. During the follow-up, 3 patients died of recurrence of abdominal cancer and others were not involved in infection,incisional hernia and local discomfort. Conclusion Compound patch has the advantage of anti-adhesion and low recurrence of incisional hernia, which could be adopted in the operation of the resection of tumors in the abdominal wall.