中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (3): 563-566.doi: 10.3969/j.issn.1673-8225.2012.03.042

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    下一篇

双层复合补片在腹壁大切口疝及巨大切口疝中的应用★

张  雷，陈健民，陈亚柯，王卫斌   

  1. 郑州大学第一附属医院疝和腹壁外科，河南省郑州市  450052
  • 出版日期:2012-01-15 发布日期:2012-01-15
  • 通讯作者: 陈健民，主任医师，教授，硕士生导师，郑州大学第一附属医院疝和腹壁外科，河南省郑州市 450052 chenjm0826@ sina.com
  • 作者简介:张雷★，男，1984年生，河南省长垣县人，汉族，郑州大学第一附属医院在读硕士，主要从事疝和腹壁外科疾病的研究。 zhanglei8752357@126.com

Application of double-deck complex patches in repair of large and huge abdominal incisional hernias

Zhang Lei, Chen Jian-min, Chen Ya-ke, Wang Wei-bin   

  1. Department of Hernia and Abdominal Wall Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou  450052, Henan Province, China
  • Online:2012-01-15 Published:2012-01-15
  • Contact: Chen Jian-min, Chief physician, Professor, Master’s supervisor, Department of Hernia and Abdominal Wall Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China chenjm0826@ sina.com
  • About author:Zhang Lei★, Studying for master’s degree, Department of Hernia and Abdominal Wall Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China zhanglei8752357@ 126.com

PDF

348

被引次数

7

摘要：

背景：传统缝合修补与自体组织移植修补较大腹壁缺损时具有一定的局限性。
目的：分析人工合成材料双层复合补片修补腹壁大切口疝及巨大切口疝的效果。
方法：回顾性分析郑州大学第一附属医院2008-12/2010-12收治的71例腹壁大切口疝及巨大切口疝患者的临床资料，所有患者均采用双层复合补片行切口疝无张力修补。
结果与结论：全部病例术后恢复顺利，无严重并发症。发生皮下积液5例，经换药治疗后痊愈。术后随访6个月~2.5年，无复发病例，无切口感染病例。提示双层复合补片是目前治疗腹壁大切口疝和巨大切口疝安全可靠的修补材料。

关键词: 双层复合补片, 腹壁切口疝, 人工合成材料, 安全性, 疗效

Abstract:

BACKGROUND: Traditional hernioplasty and tissue-autografting hernioplasty have some limitations in repair of large abdominal wall defects.
OBJECTIVE: To analyze the effects of synthetic double-deck complex patch on repairing large and huge abdominal incisional hernias.
METHODS: A retrospective analysis was performed in 71 cases suffered large and huge abdominal incisional hernia from the First Affiliated Hospital of Zhengzhou University from December 2008 to December 2010. All the cases were treated by tension-free repair with double-deck complex patches.
RESULTS AND CONCLUSION: All the cases recovered smoothly without serious complications. Subcutaneous hydrops occurred in 5 cases, and were cured by dressing treatment. No recurrence and incision infection occurred during the follow-up of 6-30 months after operation. The results suggested that the double-deck complex patch is a type of safe and reliable material which can be used to repair large and huge abdominal incisional hernias in present.

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