现代疝外科解剖和治疗原则的新认识  

New viewpoints of anatomy and therapeutic principles for modern hernia surgery

作　　者：唐健雄[1] 

机构地区：[1]复旦大学附属华东医院普通外科,上海200040

出　　处：《中华消化外科杂志》2015年第10期806-810,共5页Chinese Journal of Digestive Surgery

基　　金：上海市市级医院适宜技术联合开发推广应用项目

摘　　要：疝是普通外科的常见病、多发病，自20世纪70年代起，疝和腹壁外科领域的概念逐步更新，发展非常迅速。无张力疝修补的概念就起源于这一时期，现代疝和腹壁外科的理念正是在这一基础上不断更新。这些新的发展包括疝的诊断与治疗指南和质量控制标准的制订；解剖学的重新认识和腹壁功能的定义；疝外科治疗的基本原则；手术治疗的适应证、禁忌证；手术方式的进展与选择；以及术后并发症的预防和处理，术后康复的评价，生命质量改善，复发率，外观效果与远期预后等。笔者将阐述最新的、需要引起外科医师重视的相关问题，目的是让外科医师进一步了解新的学术观点，使疝和腹壁外科的诊断与治疗更加规范，以期达到更加满意的治疗结果。Hernia is a common and frequent disease. Theory of hernia and abdominal wall surgery has been quickly developing since 1970s, since then tension-free repair concept was originated. Continuous development of modern hernia surgery and abdominal wall surgery is based on this concept. New viewpoints include conduction of guideline of diagnosis and treatment for hernia and quality control standard, recognition of anatomy, definition of abdominal wall, concept of basic treatment principle, indication and contraindication for surgical treatment, development and choice of procedures, prevention and therapy of complications, evaluation of postoperative rehabilitation, improvement of quality of life, recurrence rate, appearance, longterm prognosis, etc. This paper describes the latest and important related issues in order to help surgeons to know new concepts, further standardize diagnosis and treatment and finally achieve satisfactory therapeutic efficacy.

关 键 词：疝 腹壁外科 指南 规范化 

分 类 号：R656.21[医药卫生—外科学]