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目的探讨腹壁切口疝患者围手术期的护理要点。方法统计2014年4月—2015年4月我院收治的318例腹壁切口疝患者的病案资料,回顾性总结该类患者围手术期的护理措施。结果最终行手术治疗者251例(79%),其中腹腔镜下切口疝补片修补术106例(42%),Onlay术84例(34%),Sublay术21例(8%),杂交术式9例(4%),单纯缝合31例(12%)。术后出现切口感染15例,给予切口换药后均愈合,慢性疼痛8例,给予理疗后均好转,补片感染2例,复发5例,需再次手术。平均随访8个月。结论术前系统全面的评估,充分的术前准备,系统完善的围手术期护理,有针对性地处理术后出现的问题,是成功治疗的关键。
Objective To investigate the perioperative nursing points of patients with abdominal incisional hernia. Methods The data of 318 cases of patients with abdominal incisional hernia treated in our hospital from April 2014 to April 2015 were retrospectively summarized, and the nursing measures of perioperative period were retrospectively reviewed. RESULTS: The final surgical treatment was performed in 251 patients (79%). Of them, laparoscopic incisional hernia repair was performed in 106 cases (42%), Onlay surgery in 84 cases (34%) and Sublay surgery in 21 cases (8% Nine cases (4%), simple suture in 31 cases (12%). Incision infection occurred in 15 cases after incision dressing were healing, chronic pain in 8 cases, after treatment were improved, patch infection in 2 cases, 5 cases of recurrence, requiring reoperation. The average follow-up of 8 months. Conclusion The comprehensive preoperative assessment, adequate preoperative preparation, systematic perioperative nursing, and the targeted treatment of postoperative problems are the keys to successful treatment.