窦道切除术治疗术后腹壁窦道94例体会

Sinus excision for the treatment of postoperative abdominal wall sinus in 94 cases

目的总结术后腹壁窦道形成的原因及手术治疗经验。方法对我院经窦道切除术治疗的94例术后腹壁窦道病例资料进行回顾性分析。结果 94例患者中,术后并切口感染者8例,93例治愈,1例再次形成腹壁窦道,85例随访6～24个月,1例再次形成腹壁窦道者3个月后再次手术治愈,其余病例均未复发。结论术后切口感染、异物存在以及术后处置不当是术后腹壁窦道形成最主要的原因。把握手术时机、充分术前准备、选择适当麻醉、完整切除窦道、彻底清除手术创面线头、肌瓣充填缺损是保证手术成功和避免复发的关键。

Objective Summary of postoperative abdominal wall sinus formation and operation treatment experience. Methods Data of ninety-four cases with postoperative abdominal wall sinus, treated with sinus resection in our courtyard, were retrospectively analyzed. Results In 94 patients, postoperative incision infection in 8 cases, 93 cases were cured, 1 case developed abdominal wall sinus again, 85 cases were followed up from 6 to 24 months. Conclusions Postoperative incision infection, foreign-body and postoperative mismanagement are main reasons of postoperative abdominal wall sinus. The chance of operation, complete preoperative preparation, appropriate anesthesia, complete excision of the sinus tract, complete removal of operation wound thread, muscle flap filling defect are all the key to guarantee the success of operation and to avoid the recurrence.