中国实用外科杂志

中国实用外科杂志

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脱细胞异体真皮基质补片修补复杂性腹壁疝36例经验总结

庞国义，韩加刚，赵    琦，马颂章，王振军   

  1. 首都医科大学附属北京朝阳医院普外疝和腹壁外科，北京100020
  • 发布日期:2012-01-18

  • Published:2012-01-18

摘要：

目的    总结脱细胞异体真皮基质（ADM）补片修补复杂性腹壁疝的经验。 方法    2008-2010年首都医科大学附属北京朝阳医院普外疝和腹壁外科采用ADM修补36例复杂性腹壁疝，对其临床资料进行回顾性分析。 结果    36例均采用ADM补片进行修补，术后Ⅰ期愈合，无术后腹壁血肿、肠梗阻、肠漏等并发症。随访时间6~34个月，平均16个月，无术后切口感染、腹壁疼痛、腹壁僵硬感、腹壁膨隆等并发症，无术后复发。 结论    ADM补片修补复杂性腹壁缺损安全、有效。

关键词: 脱细胞异体真皮基质, 复杂腹壁疝

Abstract:

Reconstruction of complex abdominal wall hernias using acellular human dermal matrix: a summary of 36 cases        PANG Guo-yi, HAN Jia-gang, ZHAO Qi, et al. Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Corresponding author: PANG Guo-yi, Email: pangguoyi1107@sina.com
Abstract    Objective    To evaluate clinical effect of acellualr dermal matrix (ADM) in repair of complex abdominal wall hernias. Methods    The clinical data of 36 cases of complex abdominal wall hernia repaired with ADM between 2008 and 2010 in the Department of General Surgery, Beijing Chaoyang Hospital of Capital Medical University were analyzed retrospectively. Results    All cases were repaired with ADM and recovered with primary wound healing. No hematoma of abdominal wall, ileus and intestinal fistula occurred. At a median follow-up of 16 months (range, 6-34 months), there was no postoperative complications such as wound infection, pain, stiffness and bulge etc. nor recurrence. Conclusion ADM offers a safe and effective option for complex abdominal wall reconstructions.

Key words: acellular dermal matrix, complex abdominal wall hernia