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目的探讨无张力疝补片在腹壁切口子宫内膜异位症切除术中的应用价值。方法选取剖宫产术后腹壁子宫内膜异位症患者33例。术中缺损大于3cm使用补片修补11例,常规手术缝合22例。回顾性分析患者的临床资料。结果 33例患者切口均一期愈合。术后随访观察6个月~6年,均无腹壁切口疝发生,无复发。11例使用补片者术后无明显不适感,22例常规手术缝合的患者中,有张力感4例。结论腹壁子宫内膜异位症手术的彻底切除是外科治疗的关键,疝补片应用于腹壁切口子宫内膜异位症无不良反应,可改善患者术后生活质量。
Objective To investigate the value of tension-free hernia mesh in resection of endometriosis with abdominal wall incision. Methods 33 cases of abdominal wall endometriosis after cesarean section were selected. Intraoperative defect was greater than 3cm using patch repair in 11 cases, routine surgical suture in 22 cases. Retrospective analysis of the clinical data of patients. Results 33 cases of incision healed in one time. Follow-up postoperative observation of 6 months to 6 years, no abdominal incision hernia occurred, no recurrence. Eleven patients had no obvious discomfort after using patch, and 22 patients with conventional suture had a sense of tension in 4 cases. Conclusion The complete resection of abdominal wall endometriosis surgery is the key to surgical treatment. The application of hernia patch in abdominal incision endometriosis has no adverse reactions and can improve the postoperative quality of life of patients.