摘要
目的探讨腹壁造瘘口旁疝的防治方法。方法回顾性分析44例腹壁造瘘口旁疝的临床特点及修补方法。结果采用局部缝合23例,网片修补16例,重新造瘘加补片5例。39例均恢复良好,5例发生切口感染。41例获得随访,随访时间6～108个月,平均49个月。复发3例,复发率为6．8％。结论造瘘口旁疝的发生与多重因素有关,应当改善围手术期患者营养状况,治疗伴发的疾病,改进操作技术以预防造瘘口旁疝的发生;手术是惟一的治愈方法,对于巨大造瘘口旁疝需用网片修补,必要时应重新移位造瘘。
Objective To investigate prevention and treatment of parastomal hernia. Methods Clinical data of parastomal hernia of 44 cases were analyzed respectively with special respect to clinical features and repair methods. Result Simple sutures were used in 23 cases, mesh repair in 16 cases, stoma relocation plus mesh repair in 5 cases. Postoperative recovery was satisfactory in 39 cases. Incisional infection occurred in 5 cases, and hernia recurrence developed in 3 cases （6. 8% ） during a follow-up of 6 to 108 months （ average 49 months） in 41 patients. Conclusion The causes of parastomal hernia are miscellaneous especially incisional infection; Perioperative malnutrition must be corrected companying diseases preperly controlled, and operative technique improved to prevent the incidence of parastomal hernia; Surgery is the only cure for parastomal hernia. Mesh repair and/or stoma relocation is sometimes necessary.
出处
《中华普通外科杂志》
CSCD
北大核心
2006年第5期341-343,共3页
Chinese Journal of General Surgery
关键词
疝
手术后并发症
外科手术
腹壁造瘘口旁疝
Hernia
Postoperative, complications
Surgical procedures, operative
