暂时性腹腔关闭技术在腹腔间隔室综合征中的应用

Application of the temporary abdominal closure technique in abdominal compartment syndrome

目的探讨暂时性腹腔关闭技术在腹腔间隔室综合征中的应用。方法总结我院2006年1月至2009年12月共13例腹腔间隔室综合征应用暂时性腹腔关闭技术患者的临床资料,分析其治疗方法和效果。结果本组13例患者中,死亡1例,其余12例行确定性关腹,暂时性腹腔关闭平均11.6(7～48)d;确定性腹腔关闭后,切口的愈合时间为(15.3±8.4)d。出现切口疝1例。结论暂时性腹腔关闭技术是治疗腹腔间隔室综合征有效、安全、经济的方法。

Objective The aim of this study is to investigate the application of the temporary abdominal closure technique in abdominal compartment syndrome. Methods A total of 13 patients who were diagnosed abdominal compartment syndrome and received temporary abdominal closure between January 2006 and December 2009 were selected, and studied the methods and effect of treatment. Results Among them, twelve of 13 patients underwent certainty abdominal closure except that one patient died. The mean time of temporary abdominal closure was 11.6 days （rang 7 to 48 days） , and the time of incision healing after certainty abdominal closure was （ 15.3 ±8.4 ） days. One case occurred incisional hernia. Conclusions This study shows the temporary abdominal closure technique is an effective, safe and economic method in the treatment of abdominal compartment syndrome.