杂交和开放技术治疗腹壁巨大切口疝的对比研究

Comparative Study of Hybrid Technology and Open Technology for the Treatment of Huge Abdominal Wall Incision Hernia

目的比较杂交技术切口疝修补术(HTIHR)与开放式切口疝修补术(OIHR)修补腹壁巨大切口疝的临床疗效。方法选择2010年1月至2013年6月新疆医科大学第一附属医院收治腹壁巨大切口疝患者49例,其中HTIHR 17例(HTIHR组),OIHR 32例(OIHR组)。对比分析两组患者的手术时间、术后住院天数、术后排气时间、术后慢性疼痛、术后并发症等。结果两组在手术时间、术后慢性疼痛及并发症方面比较差异无统计学意义(P>0.05),HTIHR组在减少术后住院时间、术后排气时间方面优于OIHR(P<0.05)。术后随访3个月至2年,两组均无死亡病例,均未见复发。结论采用HTIHR修补腹壁巨大切口疝是安全、有效的方法,具有易于开展,操作简便,术后肠蠕动恢复快、住院时间短等优点。

Objective To evaluate the clinical efficacy of the hybrid technique incisional hernia repair （HTIHR） and open incisional hernia repair（OIHR） for the repair of huge ineisional hernia of abdominal wall. Methods A retrospective analysis of 49 patients with abdominal wall incisional hernia from the Fist Hospital Affiliated to Xinjiang Medical University during Jan. 2010 andJun. 2013 was done, including 32 cases in the OIHR group and 17 cases in the HTIHR group. The operation time, postoperative hospitalization days, postoperative exhaust time, postoperative chronic pain, and postoperative complications were comparatively analyzed. Results The results showed that the operation time, postoperative complications and postop- erative chronic pain was not statistically significantly different between the two groups（ P 〉 0.05 ） ;however, the post-operation hospital stay and exhaust time was significant reduced in the HTIHR group（ P 〈 0.05 ）. No death and no recurrences were observed during the 4-month to 2-year postoperative follow-ups. Conclusion The HTIHR is safe and effective for the huge abdominal incisional hernia repair, which has the advantage of simple operation , quick intestinal peristalsis recovery and short post-operative hospitalization.