邵建川1,2，韩  岩1

1解放军第四军医大学西京医院整形外科，陕西省西安市 710032；2解放军第一七五医院(厦门大学附属东南医院)烧伤整形科，解放军南京军区烧伤整形研究所，福建省漳州市 363000

邵建川，男，1978年生，四川省绵阳市人，汉族，2002年解放军第一军医大学毕业，医师，主要从事烧伤整形研究。
porsheman@qq.com

通讯作者：韩岩，博士，教授，解放军第四军医大学西京医院整形外科，陕西省西安市  710032
hanyan@fmmu.edu.cn

Application of temporary abdominal closure materials and techniques in abdominal wall defects

Shao Jian-chuan1,2, Han Yan1

1Department of Plastic Surgery, Xijing Hospital, the Fourth Military Medical University of Chinese PLA, Xi’an   710032, Shaanxi Province, China; 2Department of Burns and Plastic Surgery, the 175 Hospital of PLA (Affiliated Southeast Hospital of Xiamen University), Institute of Burns and Plastic Surgery, Nanjing Military Area Command of Chinese PLA, Zhangzhou   363000, Fujian Province, China

Shao Jian-chuan, Physician, Department of Plastic Surgery, Xijing Hospital, The Fourth Military Medical University of Chinese PLA, Xi’an   710032, Shaanxi Province, China; Department of Burns and Plastic Surgery, the 175 Hospital of PLA (Affiliated Southeast Hospital of Xiamen University), Institute of Burns and Plastic Surgery, Nanjing Military Area Command of Chinese PLA, Zhangzhou   363000, Fujian Province, China
porsheman@qq.com

Correspondence to: Han Yan, Doctor, Professor, Department of Plastic Surgery, Xijing Hospital, The Fourth Military Medical University of Chinese PLA, Xi’an   710032, Shaanxi Province, China
hanyan@fmmu.edu.cn

Abstract
BACKGROUND: The treatment for abdominal defects is one of the problems of surgical treatment, especially primary closure is really a challenge to surgeons. As the surgical concept of defect control develops, and many technique and materials of temporary abdominal closure appear, some effective treatments for abdominal defects are emerged to solve this problem.
OBJECTIVE: To review the current status of temporary abdominal closure materials and techniques in abdominal wall defects.
METHODS: A computer-based online search of PubMed database (1986/2010) and CNKI (2005/2010) was retrieved with key words of “abdomen, abdominal wall, abdominal injuries/surgery, laparotomy, temporary abdominal closure, patch, vacuum-assisted closure, wound healing” in English and in Chinese. A total of 278 literatures were collected through computer retrieval, excluding irrelevant, obsolete, repeated and similar researches, finally 31 standard literatures were included.
RESULTS AND CONCLUSION: The application of temporary abdominal closure is an important treatment of abdominal wall defects, it can improve the prognosis and increase the cure rate. There are various materials and techniques of temporary abdominal closure with advantages and disadvantages, and each one has its own indications. The use of specific material and operative technique should base on the principles and specific conditions of patients.

摘要
背景：腹壁缺损是外科治疗的难题之一，设法一期关闭腹腔是外科医生的一项挑战，随着损伤控制外科理念的发展，各种暂时性腹腔关闭技术及材料的出现为该难题提供了有效的治疗方案。
目的：综述暂时性腹腔关闭材料及技术在腹壁缺损中的应用现状。
方法：应用计算机检索Pubmed数据库(1986/2010)，以“abdomen，abdominal wall，abdominal injuries/surgery，laparotomy，temporary abdominal closure，patch，vacuum-assited closure，wound healing”为检索词；应用计算机检索中国知网数据库(2005/2010)，以“腹部、腹壁、损伤、剖腹术、暂时性关腹、补片、封闭负压引流、创面愈合”为检索词。计算机检索得到278篇文献,排除因研究目的与此文无关，观点落后，重复及类似的研究，保留31篇。
结果与结论：暂时性腹腔关闭在腹壁缺损中已成为一项重要的治疗手段，对改善愈后，提高治愈率有积极的意义。目前应用于暂时性腹腔关闭的材料及技术种类较多，各有利弊及适应证、对于选用何种材料、术式需根据治疗原则及具体病情而定。
关键词：腹部；生物材料；腹壁；损伤；暂时性腹腔关闭技术
doi:10.3969/j.issn.1673-8225.2011.03.035

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