切口疝、腹壁力学与外科技术  

Incision hernia,abdominal wall mechanics and surgical techniques

作　　者：陈双[1] 江志鹏[1] CHEN Shuang;JIANG Zhipeng(Department of Gastrointestinal and Hernia Surgery,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,China)

机构地区：[1]中山大学附属第六医院胃肠、疝与腹壁外科,广东广州510655

出　　处：《中国普通外科杂志》2023年第10期1453-1459,共7页China Journal of General Surgery

基　　金：广东省科技厅科技计划基金资助项目(KYPYJ2022015)。

摘　　要：切口疝的治疗一直是腹壁外科的难点,因为还有很多问题至今尚未厘清和解决。要加深对切口疝的认识,需要从其本质及发生、发展的原理开始,这离不开对腹壁结构与力学特点的探索。另外,腹壁是一有多种功能的复杂器官,外科技术需要重视腹壁功能才能做到“从结构到功能”的统一。笔者从“腹壁功能单位”、切口疝在力学作用下的发展、腹壁的力学特点、腹壁的功能特点等多个层面对相关问题进行探讨,并对当下切口疝外科技术的一些问题展开讨论,提出了改进的方向和观点,旨在增进外科医生对切口疝的理解以更好地运用和创新腹壁外科的技术。The treatment of incisional hernia has always been a difficult problem in abdominal wall surgery because there are still many issues that have not been clarified and resolved.To deepen the understanding of incisional hernia,we need to start with its essence,occurrence,and the principle of its occurrence and development,which cannot be separated from the exploration of the structure and mechanical characteristics of the abdominal wall.In addition,the abdominal wall is a complex organ with multiple functions,and surgical techniques need to focus on its functions in order to achieve to unity of"from structure to function".Here,the authors discuss relevant issues from multiple perspectives such as"functional unit of abdominal wall",the development of incisional hernia under mechanical action,the mechanical characteristics of the abdominal wall,and the functional characteristics of the abdominal wall,address some issues in current incisional hernia surgical techniques,and propose the directions and strategies for improvement,with the aim of enhancing surgeons'understanding of incisional hernia for better use and innovation of abdominal wall surgery techniques.

关 键 词：切口疝 腹壁 力学现象 腹壁功能单位 外科手术 

分 类 号：R656.2[医药卫生—外科学]