腹壁切口子宫内膜异位症术后腹壁缺损补片修补的临床应用

发布时间：2018-01-10 06:01

  本文关键词：腹壁切口子宫内膜异位症术后腹壁缺损补片修补的临床应用　出处：《安徽医科大学》2017年硕士论文　论文类型：学位论文

  更多相关文章： 子宫内膜异位症 腹壁缺损 补片

【摘要】：目的:探讨腹壁切口子宫内膜异位症根治性切除术后残留的腹壁缺损修补,采用丝线缝合法与应用人工补片修补法,术后切口愈合率以及切口早期、晚期并发症发生率的差异,分析应用人工补片修补在腹壁切口子宫内膜异位症根治性切除术后残留的腹壁缺损治疗中的重要意义。方法:收集2010年1月至2014年12月于安徽医科大学无锡临床学院(无锡解放军第101医院)及安徽医科大学第一附属医院诊治的67例腹壁切口子宫内膜异位症根治性切除术后残留腹壁缺损修补患者的病案数据,根据手术方法分为传统缝合组、补片修补组,每组根据腹壁缺损大小分为缺损≤4cm组和缺损4cm组,比较不同缺损大小下,采用不同手术方式病人的伤口愈合、早、远期并发症的差异性。结果:67例患者均顺利完成手术,补片组的切口甲级愈合率为96.88%,切口早期并发症的发生率为6.25%,远期并发症的发生率为15.63%,均优于传统组的85.71%、14.29%、28.57%,差异无统计学意义(P0.05)。在缺损≤4cm情况下,补片组的切口甲级愈合率为100%,早期并发症的发生率为9.09%,优于传统组的94.44%、11.11%(P0.05)。在缺损4cm情况下,补片组的切口甲级愈合率为95.24%,早期并发症的发生率为4.76%,远期并发症的发生率为14.29%,优于传统组的76.47%、17.65%、47.06%(P0.05)。在切口远期并发症比较中,切口疝、张力感、肿胀感三项并发症多发生在传统组,且发生率比较,差异具有统计学意义(P0.05)。结论:补片修补在腹壁切口子宫内膜异位症术后腹壁缺损治疗中的效果优于传统修补,对于腹壁缺损≤4cm的情况,传统缝合更加经济、术后无明显排异风险,建议临床推广,而对于腹壁缺损4cm的情况,补片修补的切口愈合及术后并发症明显优于传统修补法,是理想的修补方法,值得推广应用。
[Abstract]:Objective: to investigate the repair of residual abdominal wall defect after radical resection of endometriosis through abdominal incision. The wound healing rate and early incision were achieved by using silk suture and artificial patch repair. Differences in the incidence of late complications. To analyze the significance of artificial patch repair in the treatment of residual abdominal wall defect after radical resection of abdominal incision endometriosis. Collected from January 2010 to December 2014, Wuxi College of Clinical Studies, Anhui Medical University (. Medical records of 67 patients with residual abdominal wall defect after radical resection of abdominal incision endometriosis treated by Wuxi PLA 101 Hospital and the first affiliated Hospital of Anhui Medical University. According to the operation method, the patients were divided into traditional suture group and patch repair group. Each group was divided into 4 cm defect group and 4 cm defect group according to the size of abdominal wall defect. The difference of wound healing, early and long term complications of patients with different surgical methods. Results all 67 cases of the patients successfully completed the operation. The rate of incision grade A healing in the patch group was 96.88%. The incidence of early incision complications and long-term complications were 6.25 and 15.63respectively, which were better than that of the traditional group (85.71%, 14.29%, 28.57%). In the case of defect 鈮，

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