腹壁切口疝的外科治疗

Surgical treatment of abdominal incisional hernia

目的：分析腹壁切口疝的外科治疗方法和效果。方法：回顾25例腹壁切口疝的临床资料,男14例,女11例。中位年龄为69（56~79）岁。上腹正中切口疝3例,下腹正中切口疝11例,经腹直肌切口疝6例,麦氏切口疝5例。腹直肌鞘前和腱膜前网片修补术16例,腹膜前肌鞘后网片修补术7例,腹腔内网片修补术2例。结果：4例皮下积液经及时穿刺抽液后治愈,本研究25例均一期愈合。经1~3年随访无复发。结论：对腹壁切口疝采用网片修补,效果良好。

Objetive To investigate the surgical treatment of abdominal incisional hernia and effect. Methods A retrospective analysis was made from 25 patients with abdominal incisional hernia including 14 male and 11 female with the median age of 69（56-79） years old. There were 3 cases with upper midline incisional hernia, 11 cases lower midline incisional hernia, 6 cases incisional hernia of rectus muscle and 5 cases Mc Burney incisional hernia. Sixteen cases experienced the anterior mesh repair of rectus sheath and 7 cases posterior mesh repair and 2 cases underlay repair. Results Subcutaneous effusion was present in 4 cases and cured by extraction all. All of 25 cases in this study had primary healing. No relapse occurred after the followup of 1-3 years. Conclusions Repair of abdominal incisional hernia using mesh implantation could get excellent effect.