本文關(guān)鍵詞：腹壁切口子宮內(nèi)膜異位癥術(shù)后腹壁缺損補片修補的臨床應(yīng)用　出處：《安徽醫(yī)科大學》2017年碩士論文　論文類型：學位論文

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【摘要】：目的:探討腹壁切口子宮內(nèi)膜異位癥根治性切除術(shù)后殘留的腹壁缺損修補,采用絲線縫合法與應(yīng)用人工補片修補法,術(shù)后切口愈合率以及切口早期、晚期并發(fā)癥發(fā)生率的差異,分析應(yīng)用人工補片修補在腹壁切口子宮內(nèi)膜異位癥根治性切除術(shù)后殘留的腹壁缺損治療中的重要意義。方法:收集2010年1月至2014年12月于安徽醫(yī)科大學無錫臨床學院(無錫解放軍第101醫(yī)院)及安徽醫(yī)科大學第一附屬醫(yī)院診治的67例腹壁切口子宮內(nèi)膜異位癥根治性切除術(shù)后殘留腹壁缺損修補患者的病案數(shù)據(jù),根據(jù)手術(shù)方法分為傳統(tǒng)縫合組、補片修補組,每組根據(jù)腹壁缺損大小分為缺損≤4cm組和缺損4cm組,比較不同缺損大小下,采用不同手術(shù)方式病人的傷口愈合、早、遠期并發(fā)癥的差異性。結(jié)果:67例患者均順利完成手術(shù),補片組的切口甲級愈合率為96.88%,切口早期并發(fā)癥的發(fā)生率為6.25%,遠期并發(fā)癥的發(fā)生率為15.63%,均優(yōu)于傳統(tǒng)組的85.71%、14.29%、28.57%,差異無統(tǒng)計學意義(P0.05)。在缺損≤4cm情況下,補片組的切口甲級愈合率為100%,早期并發(fā)癥的發(fā)生率為9.09%,優(yōu)于傳統(tǒng)組的94.44%、11.11%(P0.05)。在缺損4cm情況下,補片組的切口甲級愈合率為95.24%,早期并發(fā)癥的發(fā)生率為4.76%,遠期并發(fā)癥的發(fā)生率為14.29%,優(yōu)于傳統(tǒng)組的76.47%、17.65%、47.06%(P0.05)。在切口遠期并發(fā)癥比較中,切口疝、張力感、腫脹感三項并發(fā)癥多發(fā)生在傳統(tǒng)組,且發(fā)生率比較,差異具有統(tǒng)計學意義(P0.05)。結(jié)論:補片修補在腹壁切口子宮內(nèi)膜異位癥術(shù)后腹壁缺損治療中的效果優(yōu)于傳統(tǒng)修補,對于腹壁缺損≤4cm的情況,傳統(tǒng)縫合更加經(jīng)濟、術(shù)后無明顯排異風險,建議臨床推廣,而對于腹壁缺損4cm的情況,補片修補的切口愈合及術(shù)后并發(fā)癥明顯優(yōu)于傳統(tǒng)修補法,是理想的修補方法,值得推廣應(yīng)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，

本文編號：1404100