老年腹壁切口疝的病因分析及预防

Etiology and Prevention of Incisional Herniaof Abdominal Wall for the Old Patients

目的 :探讨老年人腹壁切口疝的发病原因及预防。方法 :回顾性分析 38例老年腹壁切口疝的发病原因。结果 :38例中腹部纵行切口 2 8例 ,切口感染 4例 ,合并糖尿病 7例 ,慢性支气管炎 7例 ,贫血、低蛋白 12例 ,切口疝发生在 6个月以内者 2 1例。结论 :老年人发生腹壁切口疝的主要原因与腹部纵行切口、切口感染、缝合技术及各种合并症有关。横向切口以及围手术期预防切口裂开、感染可以减少切口疝的发生。

Objective: To explore the etiology and prevention of incisional hernia of abdominal wall for the old patients.Methods:Thirty eight cases with incisional hernia of abdominal wall for the old patients were reviewed retrospectively.Results:Incisional hernia of abdominal wall occurred in all 38 patients and occurred within 6 month in 21 patients.Among the 38 patients,longitudinal incision occurred in 28 patients,infection of incision in 4,diabete mellitus in 7,chronic bronchitis in 7,and anaemia or lower proteinemia in 12.Conclusion: It is easy for incisional hernia of abdominal wall to occur in the old patients.Longitudinal incision,infection of incision,technique of suture and complications are the major cause.Most hernia developed within 6 months postoperatively and all risk factors should be avoided.