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机构地区:[1]复旦大学附属华东医院疝和腹壁外科治疗与培训中心,上海200040
出 处:《中华消化外科杂志》2016年第10期947-949,共3页Chinese Journal of Digestive Surgery
基 金:上海市成人腹股沟疝适宜项目(SHDC12014211)
摘 要:自1997年腹股沟疝无张力疝修补术引入国内,我国疝与腹壁外科领域飞速发展,但由于操作不规范,同时也存在不少问题,如:复发、慢性疼痛、补片感染等。为了解决这些问题,提高我国疝与腹壁外科诊断、治疗和研究水平,外科医师必须从基础、临床技术及质量控制等多方面努力。重视对疝的病因学研究才可能提出创新的治疗方法;注册制度的建立有助于总结临床治疗经验;疝质量控制标准的建立和执行才能保证诊断与治疗效果;腹腔镜技术应用于腹股沟疝是安全有效的,但对于是否属于微创手术仍有争议。Tension-free repair for inguinal hernias has been led into China since 1997 and being promoted quick development of hernia and abdominal wall surgery in China, meanwhile, there are still many problems in the recurrence, chronic pain and patch infection due to irregular operations. In order to solve these problems and improve the diagnosis, treatment and research levels of hernia and abdominal wall surgery, surgeons must pay attention to the basic and clinical technologies, quality control and so on. The studies on etiology of hernia will bring innovative therapy, registration system will contribute to summarize the clinical experiences, and establishment and implementation of quality control of hernia could ensure the effects of diagnosis and treatment. However, there is still a controversy about whether laparoscopic technology on inguinal hernias is minimally invasive surgery or not, though it is safe and effective.
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