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目的总结合成补片手术修补Miles术后造口旁疝的效果。方法回顾性分析18例直肠癌Miles术后发生造口旁疝患者应用合成补片行造口旁疝修补临床资料。其中,采用Onlay修补法8例,Sublay修补法4例,IPOM修补法6例。结果术后随访15-60个月。择期手术17例一期手术均获成功,造口旁疝无复发。急诊手术1例(5.6%),二期IPOM修补,术后出现补片感染及造口旁疝复发;取出补片感染部分后再次行IPOM修补法治愈,随访17个月未见造口旁疝复发。结论应用合成补片修补造口旁疝,效果好、复发率低。
Objective To summarize the effect of synthetic patch surgery to repair parastomal hernia after Miles operation. Methods The clinical data of 18 patients with parastomal hernia after Miles surgery were retrospectively analyzed. Among them, using Onlay repair method in 8 cases, Sublay repair method in 4 cases, IPOM repair method in 6 cases. Results The patients were followed up for 15-60 months. Elective surgery in 17 cases of a successful surgery, no recurrence of colostomy hernia. Emergency surgery in 1 case (5.6%), two IPOM repair, postoperative patch infection and parastomal hernia recurrence; removed part of the infection and then line IPOM repair cure, no follow-up of 17 months no colostomy hernia relapse. Conclusions The use of synthetic patch to repair parastomal hernia, the effect is good, the recurrence rate is low.