中国实用外科杂志

中国实用外科杂志

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腹腔镜联合组织结构分离技术治疗造口旁疝16例疗效分析

刘    昶，孙旭阳，纪艳超，王    垚，张成森   

  1. 哈尔滨医科大学第四附属医院普外三科，黑龙江哈尔滨，150001
  • 出版日期:2015-11-01 发布日期:2015-10-29

  • Online:2015-11-01 Published:2015-10-29

摘要：

目的    探讨腹腔镜联合组织结构分离技术（CST）在造口旁疝治疗中的应用   方法    回顾性分析2012年1月至2015年1月哈尔滨医科大学附属第四医院应用腹腔镜联合CST治疗的16例造口旁疝病人的临床资料。结果    均顺利完成腹腔镜手术，手术时间为70～250（152.9±60.8）min。术后发生血清肿2例，切口感染1例，疼痛2例（3～4周缓解）。经非手术治疗，病人顺利出院。随访6～15个月，16例病人恢复腹壁有效外观，正常参与呼吸和协调身体其他部位的运动，达到腹壁功能重建的效果。所有病人无慢性疼痛及造口旁疝复发。 结论    腹腔镜联合CST修补造口旁疝，恢复腹壁结构连续性的同时达到腹壁的功能性重建，手术兼具腹腔镜创伤小、干扰轻、恢复快等优点，降低了疝的复发率。

关键词: 造口旁疝, 组织结构分离技术, 腹腔镜

Abstract:

Curative effect of laparoscope and component separation technique in the treatment of parastomal hernia: An analysis of 16 cases        LIU Chang，SUN Xu-yang，JI Yan-chao，et al. Department of General Surgery，the Fourth Affiliated Hospital of Harbin Medical University，Harbin 150001，China
Corresponding author：LIU Chang，E-mail：changliu72@163.com
Abstract    Objective    To study the effectiveness of using laparoscope and component separation technique (CST) to cure parastomal hernia. Methods    The clinical data of 16 cases of parastomal hernia performed laparoscopy and CST from January 2012 to January 2015 in the Fourth Affiliated Hospital of Harbin Medical University were analyzed retrospectively. Results    The operation time ranged from 70 to 250 minutes with a mean of （152.9±60.8）min. The postoperative seroma occurred in 2 cases. One case had incisional infection. Two cases had abdominal pain and most of the pain could be alleviated in 3-4 weeks. They were followed up for 6-15 months. A total of 16 cases were performed laparoscopy and CST to cure parastomal hernia restored abdominal wall appearance effectively, normal breathing and coordination of movement in other parts of the body，to achieve the effect of abdominal wall function reconstruction. All the cases had no chronic pain and recurrence. Conclusion    Laparoscope and CST have the advantages of minor injury，light interference，quicker recovery, which can not only restore the continuity of the abdominal wall structure and achieve the functional reconstruction of abdominal wall，but also reduce recurrence of hernia.

Key words: parastomal hernia, component separation technique, laparoscope