摘要
目的探讨腹壁疝无张力疝修补术后并发外科手术部位感染(SSI)的诊断和治疗。方法回顾性分析本病区2008年1月～2011年6月6例腹壁疝无张力疝修补术后并发SSI的临床资料,其中单纯切口感染2例,补片感染4例。结果本组除1例补片感染保守治疗2年未愈,手术取出补片外,其余病例均保守治愈。治疗时间19～42 d,平均33.4 d。随访43～60 d,无再感染发生。结论腹壁疝无张力疝修补术后并发SSI大多可通过局部引流、持续负压吸引、抗感染等方法治愈,经保守治疗无效后,才考虑手术治疗。
Objective To discuss the clinical diagnosis and treatment of postoperative surgical site infection （SSI） after the tension - free hernia repair of lateral ventral syndrome. Methods A retrospective analysis was made in the clinical data of 6 patient with postoperative complication of SSI after the tension - free hernia repair of lateral ventral syndrome from January 2008 to June 2011 in our endemic area. Among those,2 cases were simple incision infection and 4 ones were the patch infection. Results Only one case with patch infection was not cured by expectant treatment in 2 years, so the patch was taken out by operation. The rest cases were all cured by the expectant treatment. The treatment time was 19 - 42 days, and the average was 33.4 days. During the follow - up for 43 - 60 days, there was no infection relapsed. Conclusion The most postoperative complication of SSI after the tension - free hernia repair of lateral ventral syndrome can be cured by local drainage, continuous negative pressure aspiration, and anti - infection, etc. Operation should be considered only after the inefficacy by expectant treatment.
出处
《西南国防医药》
CAS
2013年第1期42-44,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
腹壁疝
无张力疝修补术
手术部位感染
lateral ventral syndrome
Tension - free hernia repair
operative site infection
