造口旁疝的形成机制及手术修补方式研究进展  

Research progress on formation mechanism and surgical repair of parastomal hernia

作　　者：徐琨[1] 孟相真[1] 杨福全[1] Xu Kun;Meng Xiangzhen;Yang Fuquan(Department of General Surgery,Colon Rectum,Hernia and Minimum Invasive Surgery Ward,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院普通外科,结直肠、疝、微创外科病房,沈阳110004

出　　处：《中华疝和腹壁外科杂志（电子版）》2021年第5期450-454,共5页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：国家科技支撑计划课题(2015BAI13B09)。

摘　　要：造口旁疝(PH)是肠造口术后常见的并发症,文献报道发病率高达50%左右。PH常发生在造口的前2年,并且随着时间的推移,发病率继续升高。PH严重影响患者的生活质量,并发生社会心理问题,消耗医疗资源,严重时危及生命。关于PH的手术方式有很多种,然而PH的术后复发率仍然较高,关于PH的修补手术方式仍然在不断的改良中。目前关于造口同时预防性植入补片的结果也不是令人十分满意,许多国家的疝外科医师仍在不断探索改良PH的手术方式。PH形成的机制及危险因素对于造口疝手术意义重大,本文回顾总结PH发生的危险因素、PH的病理生理基础及PH的各种术式,分析各种术式的原理及复发原因,旨在为进一步预防PH和改良PH手术提出新思路。Hernia is a common complication after enterostomy.The incidence rate is about 50%.Parastomal hernia often occurs in the first two years after stoma operation,and the incidence rate increases over time.Parastomal hernia seriously affects the quality of life of patients,social and psychological problems,consumes medical resources and seriously endangers life.There are many surgical methods for parastomal hernia.However,the postoperative recurrence rate of parastomal hernia is still high,and the repair method of parastomal hernia is still being improved.At present,the effects of prophylactic implantation of patch at the same time of stoma are not very satisfactory.Hernia surgeons in many countries worldwide are still exploring to improve the surgical method of parastomal hernia.The formation mechanism and risk factors of parastomal hernia are of great significance for the operation of parastomal hernia.This paper reviews and summarizes the risk factors of parastomal hernia,the pathophysiological basis of parastomal hernia,various operation methods of parastomal hernia,and analyzes the principle and recurrence causes of various operation methods,in order to provide new ideas for further prevention of parastomal hernia and improvement of parastomal hernia operation.

关 键 词：造口旁疝 病因 机制 手术 

分 类 号：R656.2[医药卫生—外科学]