腹壁切口疝72例病因分析

Analysis of etiology of 72 cases with incision hernia of abdominal wall.

目的 探讨腹壁切口疝的发病原因。方法 从切口类型、缝合技术、材料、切口感染、腹内压增高、年龄、营养、发生时间等方面对 72例切口疝进行回顾性分析。结果 腹壁纵行切口、缝合技术欠佳、切口感染、腹内压增高、高龄、低蛋白血症、糖尿病等因素的存在易诱发切口疝。结论 (1)在不影响手术操作及安全的前题下 ,采用横向切口。(2 )严格无菌操作 ,严密止血 ,正确使用抗生素 ,防治切口感染或裂开。 (3)从各方面防止腹内压升高。 (4 )注意老年病人的营养补充 ,促进切口愈合。 (5 )术后半年内是腹壁切口疝发生的高峰期 ,应特别注意保护 ,尽量避免一切诱发因素。

Objective To explore the etiology of incision hernia of abdominal wall.Methods 72 cases with incision hernia were analyzed retrospectively in types of incision,technique of suture,materials,infection of incision,increase of intraabdominal pressure,age,nutrition and time of occurrence.Results Longitudinal incision,bad technique of suture,infection of incision,increase of intraabdominal pressure,aged,hypoalbuminemia and diabetes mellitus easily induced incision of hernia.Conclusion Transverse incision should be adopted if operation and safety are not affected.Prevent and treat infection or rupture of incision by strict aseptic manipulation,hemostasis and right use of antibiotics.Prevent increase of intraabdominal pressure in every aspect.Pay atention to nutrition supply of the elderly and promote healing of incision.Postoperative half year is high incidence stage of incision hernia and all inducing factors should be avoided.