| 标题： | 腹壁巨大切口疝的围手术期处理 |
| 摘要： |
目的：探讨腹壁巨大切口疝的特点及围手术期处理临床经验。 方法：对我院2003年1月至2008年1月间诊治的21例巨大腹壁切口疝患者的临床资料进行回顾性分析。 结果：21例患者疝环直径10~23 cm，平均（14.4±5.2）cm，3例患者疝囊容积与腹腔容积的之比>20%。11例患者术前存在腹内压增高因素。16例患者术前采用腹带加压捆扎方法，5例患者采用人工气腹法行腹腔扩容，2例放弃手术。引流管多在术后4~7 d拔除，平均（5.4±1.6）d。2例发生皮下积液，腹带加压束腹2周，无切口感染或补片排斥反应，无围手术期死亡。14例患者获得随访，复发1例。 结论：对腹壁巨大切口疝患者应加强围手术期评估和准备，提高手术的安全性。 |
| 英文摘要： | Objective：To evaluate the clinical experience of perioperative management for huge abdominal incisional hernia. Methods：Twenty-one patients with huge incisional hernia treated in our hospital from Jan. 2003 to Jan. 2008 were analyzed retrospectively. Results：The hernial diameter was 10-23(14.4±5.2)cm, the percentage of the contents of the sac defined and the abdominal contents that have lost domain in 3 patients are more than twenty percent. Evidence increase of intraabdiminal pressure occurred in 11 patients. Preoperative pressure abdominal belt and induced pneumoperitoneum were used in 16 and 5 patients, respectively. The operation was aborted in 2 patients. Draining ducts were extracted during 4-7(5.4±1.6)days postoperatively. 2 patients occurred subcutaneous dropsy. All patients use abdominal belt for two weeks postoperatively. No incisional infection or mesh rejection occurred. One recurrent case was found during the postoperative follow-up period. Conclusion：Perioperative evaluation and management is the most important for patients with huge abdominal incisional hernia. |
| 作者： |
杨斌；陈双；周军；赖东明；江志鹏；张育超；褚忠华 |
| 作者单位： | |
| 期刊： | 中华普通外科学文献(电子版) |
| 年.卷(期):页码 | 2009 .3（6）：484-486 |
| 中图分类号： | |
| 文章编号： | |
| 引用格式： | [1]杨斌；陈双；周军；赖东明；江志鹏；张育超；褚忠华.腹壁巨大切口疝的围手术期处理[J/CD].中华普通外科学文献（电子版）,2009,3(6):484-486. |
| 关键词： | 疝，腹部；围手术期 |
| 英文关键词： | Hernia, abdorminal；Perioperative period |
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