摘要
目的探讨腹腔镜切口疝修补术的方法、适应证及临床疗效.方法 回顾性分析2006年3月至2012年12月苏州大学附属第二医院收治的67例腹腔镜切口疝修补术患者的临床资料.结果 67例患者均顺利完成腹腔镜切口疝修补术,手术时间30～215 min,平均（111±36） min,术后住院时间3～16 d,平均7 d,术后随访2～79个月,平均29个月,发生补片感染1例（1.5%）;血清肿6例（9.0%）;膨出2例（3.0%）;复发3例（4.5%）;术后发生腹壁钉合区域疼痛18例（26.8%）,11例3～6周后基本缓解,7例疼痛持续2个月以上.结论 腹腔镜切口疝修补术具有创伤小、恢复快、并发症少及复发率低等优点.掌握腹腔镜切口疝修补术适应证及预防并减少并发症的发生相当重要.
Objective To explore the methods, indication , clinical effectiveness of laparoscopic incisional hernia repair. Methods A total of 67 cases with laparoscopic incisional hernia repair performed March 2006 to October 2012 at The Second Affiliated Hospital of Soochow University were retrospectively analyzed. Results All cases were successfully performed by laparoscopy with a mean operation time of （ 111 ± 36） rains （30 to 215 min） and a mean time of post-operation hospital stay of 7 days （3 to 16 days）. All cases were followed up with a mean of 29 months （2 to 79 months）. Six cases were observed with seroma; Two cases were found in bulging of the mesh; One case had mesh related infection and 3 cases recurred; Abdominal wall pain was occurred in 18 cases, 11 cases of them recovered after 3 to 6 weeks,and pains in the 7 cases of all lasted more than two months. Conclusion Laparoscopic incisional hernia repair is minimal invasion with rapid recovery and lower recurrence rate.
出处
《中华疝和腹壁外科杂志（电子版）》
2013年第5期29-32,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
疝修补术
腹腔镜
Hernia
Hemiorrhaphy
Laparoscopes
