三线交叉切口在先天性幽门肥厚手术中的应用

• 作 者: 张正茂 窦学木 国艳霞
• 机 构: 山东省淄博市妇幼保健院,山东省淄博市妇幼保健院,淄博市中心医院 255029,255029
• 出 处: 中国局解手术学杂志
• 发表日期: 1999年01期
• 关键词: 腹外斜肌 切口疝 肋缘 肌纤维方向 腹直肌 腹内斜肌 肌膜 临床资料 腹横肌 皮纹方向

1996年6月～1998年5月,我院采用腹壁三线交叉切口治疗先天性肥厚性幽门狭窄(CHPS)32例,效果满意。现报告如下。 一、临床资料:本组男26例,女6例,年龄在11～90天,平均28天。呕吐发生时间最早的6天,最晚的80天,在12～25天占80％,全组病例均经钡餐确诊为CHPS。 二、方法与结果:切口分为A、B、C三线,如附图A线为皮肤切口,即自右肋缘下1cm腹直肌外缘起,与肋缘平行向外切开约2.5～3cm,切至皮下后,再交叉斜形切开腹外斜肌肌膜,即B线,此线即腹外斜肌肌纤维方向,按此方向钝性分开腹外及腹内斜肌,最后纵行切

From June 1996 to May 1998, 32 cases of congenital hypertrophic pyloric stenosis (CHPS) were treated with three-line abdominal incision in our hospital with satisfactory results. The report is as follows. First, the clinical data: The group of 26 males and 6 females, aged 11 to 90 days, an average of 28 days. The earliest vomiting 6 days, the latest 80 days, 80% in 12 to 25 days, all patients were diagnosed as barium meal CHPS. Second, the method and results: incision is divided into A, B, C three lines, as shown in Figure A line for the skin incision, that is, from the outer edge of the right rib margin 1cm rectus abdominis, parallel with the costal edge cut outward about 2.5 ~ 3cm , Cut to subcutaneous, and then cross-oblique incision of the lateral oblique muscular, ie, B line, this line is the direction of extra-abdominal oblique muscle fibers, according to this direction blunt dissection of the abdominal and abdominal oblique, the last vertical Excuse me