肝硬化腹水合并脐疝嵌顿的外科治疗

摘要

Objective To summarize the experience of surgical treatment of incarcerated umbillical hernia in the patients with cirrhotic ascites .Methods Clinical data of 17 patients with cirrhotic ascites ,who had undergone in-carcerated umbillical hernia and received emergent operation in the people′s hospital of Zhengzhou from July 2007~July 2012 , were retrospectively analyzed .Results Of 17 patients received operation , 15 received the release of in-carcerated umbilical hernia and tension-free herniorrhaphy , and 2 received umbilical hernia repair and partial enterec-tomy.All 17 patients recovered without incision infection .Conclusion Incarcerated umbillical hernias in patients with cirrhosis ascites should be treated as early as possible with correct operative methods .According to the severity of the disease, tension-free herniorrhaphy or hernia repair could be applied in the emergency repair of incarcerated umbillical hernia in patients with cirrhotic ascites .In the perioperative peroid ,the rational integrated therapy should be performed.%目的：总结肝硬化腹水合并脐疝嵌顿的手术治疗经验。方法回顾性分析2007-07～2012-07郑州人民医院普通外科收治的17例肝硬化腹水合并脐疝嵌顿的病例资料。结果全组17例肝硬化腹水合并脐疝嵌顿的患者均行手术治疗，其中15例行脐疝嵌顿疝松解及无张力修补术，2例行部分小肠切除术合并脐疝修补术。术后均恢复良好，无切口感染。结论肝硬化腹水合并脐疝嵌顿急诊手术治疗应尽早，可根据不同情况选择无张力疝修补术或疝修补术，围手术期应进行合理的综合治疗。