摘要
目的介绍肝胆术后腹壁及肋缘部浅表并发症的诊治经验，探讨防治该类并发症的方法。方法对1998年以来，上海长海医院整形外科收治26例肝胆术后腹壁及肋缘部浅表并发症病人进行回顾性研究。按照并发症不同，将26例病人分为慢性溃疡伴肋软骨炎5例、单纯慢性溃疡3例、瘢痕疙瘩18例。根据病人的症状不同，分别采取病灶切除局部皮瓣转移修复、病灶切除植皮加综合治疗等方法。结果26例病人，经上述处理病灶症状消失，效果满意，随访2～3年未见复发。结论对肝胆术后腹壁及肋缘部浅表并发症的病人，临床上给予足够重视，采用手术为主的综合疗法，可取得满意的效果。
Objective To introduce the experience in treatment of abdominal wall and costal margin complications after hepatobiliary surgery and explore the preventive method for this kind of complications. Methods The clinical data of 25 patients with abdominal wall and costal margin complications after hepatobiliary surgery receiving treatment in our hospital since 1998 were retrospectively analyzed. Of the 26 patients, 5 suffered from chronic ulcer with costal chondritis, 3 single chronic ulcer and 18 cheloid. According to different symptoms, focus removal regional flap transfer restoration and focus removal dermatoplasty with combined therapy were performed, respectively. Results Focus symptoms of the 26 cases disappeared after the above described treatment and satisfactory results were obtained. The follow-up study for 2-3 years found no recurrence. Conclusion We should pay close attention to patients with abdominal wall and costal margin complications after hepatobiliary surgery. The combined treatment mainly through operation could achieve satisfactory results.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2009年第5期347-349,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
手术后并发症
腹壁
肋缘
肝胆
Postoperative complication
Hepatobiliary disease
Abdominal wall
Costal margin
