人工补片应用于韧带样瘤切除后腹壁无张力修补
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张亚男 E-mail:zhangyanan79@126.com

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Tension-free open repair with artificial mesh after excision of abdominal desmoid tumor
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    摘要:

    目的:对比腹壁韧带样瘤切除术后直接缝合及无张力修补方法的临床效果。
    方法:1990年—2002年收治7例腹壁韧带样瘤,行肿块切除腹壁直接缝合;2003年—2010年收治9例腹壁韧带样瘤患者,行肿瘤广泛切除术,并使用人工补片进行腹壁缺损修补。
    结果:直接缝合患者术后平均72 h后下床活动,平均住院14 d;无张力修补患者术后6~12 h均可下床活动,平均住院9 d。前者随访7年~20年,术后出现一例局部复发,一例切口疝,均行二次手术;后者随访6个月~7年无肿瘤复发及切口疝发生。
    结论:腹壁韧带样瘤治疗需行肿块扩大切除术,术中使用人工材料进行腹壁缺损修补可使患者早期下床活动,减少住院时间,降低术后并发症率及控制复发。

    Abstract:

    Objective:To compare the results of direct suture and tension-free open repair with  artificial mesh after excision of abdominal desmoid tumor.
    Methods:The patients included 2 groups: Seven cases were treated by direct suture after excision of abdominal desmoid tumor from 1990 to 2002 (group A); 9 cases were treated with wide excision and artificial mesh was used for repair of abdominal wall defect  from 2003 to 2010 (group B).
    Results:The mean time to ambulation was more than 72 hours in group A, and 6 to 12 hours in group B; the mean hospitalization time was 14 days in group A and 9 days in group B, respectively. During the follow-up (7 to 20 years), there was one patient with incisional hernia and one patient with tumor recurrence in group A; while in the follow-up period(6 months to 7 years), there was no incisional hernia or tumor recurrence in  group B. 
    Conclusions:Surgical resection of abdominal desmoid tumor and repair of abdominal wall with artificial mesh is an easy, safe, and effective method.

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张亚男| 瞿欢| 陈卫东| 芮宗道| 范新| 汤文浩| 嵇振岭.人工补片应用于韧带样瘤切除后腹壁无张力修补[J].中国普通外科杂志,2010,19(11):1227-1230.
DOI:10.7659/j. issn.1005-6947.2010.11.017

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  • 收稿日期:2010-06-21
  • 最后修改日期:2010-10-11
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  • 在线发布日期: 2010-11-15