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來源資料
相關文獻
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頁籤選單縮合
題名 | Prospective Randomized Trial of Midline Incision and Paramedian Incision for Prevention of Incisional Hernia=腹部切開法的選擇與預防割口疝氣的關係--一個隨意抽樣的試驗 |
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作 者 | 陳漢文; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 25:5 民81.09-10 |
頁次 | 頁1332-1336 |
分類號 | 416.2423 |
關鍵詞 | 疝氣; 腹部切開法; |
語文 | 英文(English) |
中文摘要 | 腹部割口疝氣是外科醫師常遇到的問題。本研究目的是比較在不同的腹部切開法與割口疝氣發生的關係。 50個尿毒病人因接受永久性腹膜透析治療而行開腹術植入導管。他們被隨意抽樣分成兩組:23人(46%)接受中線切開法及單層縫合而另外27人(54%)接受中線旁切開法及分層縫合。有關引起割口疝氣的危險因子如年齡、性別、血尿素氮、傷口感染、肺部疾病、腹漲及營養狀況,經過比較後,兩組並無有意義差異。病人經至少一年的追踪後,我們發現在中線組中有5例發生割口疝氣,而在中線旁組則無(P=0.016)。 我們的結論:對於預防腹部割口疝氣,中線旁切開法合併分層縫合優於單層縫合的中線切開法。 |
英文摘要 | Incisional hernia still presents a clinical problem for general surgeons. A prospective study was carried out to compare the different techniques of abdominal incision resulting in the occurrence of incisional hernia. A total of 50 patients with end-stage renal disease was entered in this trial: 23 patients (46%) were randomized to receive midline incision with mass closure and 27 patients (54%) paramedian incision with layered closure. They all underwent a laparotomy for peritoneal dialysis catheter implantation for permanent peritoneal dialysis. There was no statistical difference between the two groups with regard to the risk factors that included sex, age, severity of azotemia, hemoglobin, serum albumin, transferrin, raised intraabdominal pressure and postoperative pulmonary disease (P> 0.05 Student's t-test). After 1 year of follow-up, five incisional hernias (10%) were found in the midline group and none in the paramedian group (P = 0.016 Fisher's exact test). We concluded that the paramedian incision with layered closure is superior to midline incision with mass closure in preventing incisional hernia. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。