腹股沟疝修补术后血清肿的研究进展
作者:
作者单位:

复旦大学附属华东医院 普通外科,上海 200040

作者简介:

李绍春,复旦大学附属华东医院主治医师,主要从事疝与腹壁外科诊疗方面的研究。

通信作者:

唐健雄,Email: johnxiong@china.com

基金项目:

上海市疝补片不良事件监测基金资助项目(H1178)。


Research progress of seroma after inguinal hernia repair
Author:
Affiliation:

Department of General Surgery, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China

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    摘要:

    血清肿作为腹股沟疝修补术后常见的并发症,由于不同学者对于血清肿理解认知不同,导致报道的腹股沟疝修补术后血清肿发生率差异较大。患者因素、医师的经验以及补片材质、固定方式等均是患者术后形成血清肿的重要原因;在治疗方面,大多数情况下血清肿可无需临床干预即可自行吸收,仅当患者出现严重症状、感染等少数情况下进行临床干预。因此,对于降低围手术期血清肿的发生率仍需以预防为主。笔者就腹股沟疝术后血清肿的研究文献作一综述,以期为临床提供参考。

    Abstract:

    Seroma is a common complication after inguinal hernia repair. There are great differences in the reported incidence of seroma, possibly because different scholars have different understandings of this condition. The patient's own factors, the surgeon's experience, and the materials of the mesh as well as its fixation techniques are all important causes for the formation of postoperative seroma. With regard to the treatment, clinical interventions are not needed in most cases because the seroma can be spontaneously absorbed, and only should be performed in few cases such as patients who have severe symptoms or infection. Thus, prevention is still the main strategy to reduce the incidence of perioperative seroma. Here, the authors review the research literature concerning postoperative seroma following surgery for inguinal hernia, so as to provide reference for clinical use.

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李绍春,李绍杰,马慧,唐健雄.腹股沟疝修补术后血清肿的研究进展[J].中国普通外科杂志,2022,31(10):1389-1394.
DOI:10.7659/j. issn.1005-6947.2022.10.015

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  • 收稿日期:2022-05-06
  • 最后修改日期:2022-06-30
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  • 在线发布日期: 2022-10-31