疝补片的发展:从人工补片到智能材料  

The development of hernia meshes:from artificial meshes to intelligent materials

作　　者：汤福鑫 黄浩男 马宁[1,2,3] 周太成 陈双[1,2,3] Tang Fuxin;Huang Haonan;Ma Ning;Zhou Taicheng;Chen Shuang(Department of General Surgery(Hernia and Abdominal Wall Surgery),the Sixth Affiliated Hospital,Sun Yat-sen University,Guang zhou 510655,Guangdong Province,China;Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases,the Sixth Affiliated Hospital,Sun Yat-sen University,Guang zhou 510655,Guangdong Province,China;Biomedical Innovation Center,the Sixth Affiliated Hospital,Sun Yat-sen University,Guang zhou 510655,Guangdong Province,China)

机构地区：[1]中山大学附属第六医院普通外科(疝与腹壁外科),广州510655 [2]广东省结直肠盆底疾病研究重点实验室,广州510655 [3]广州市黄埔区中六生物医学创新研究院,510655

出　　处：《中华疝和腹壁外科杂志（电子版）》2024年第4期365-368,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：国家资助博士后研究人员计划资助项目(GZB20240902);国家临床重点专科基金资助项目(2012649)。

摘　　要：疝修补术是全世界最常见的外科手术之一。为恢复肌筋膜层生理结构和功能的完整,腹壁疝修补需要植入补片进行重建。随着材料学快速发展,已有超过200余种疝补片应用于临床,但现有的补片仍然缺乏理想的结构设计以及面临诸多术后并发症等问题。本文详细回顾了疝补片发展和现状,包括金属材料、合成补片、生物补片等,并重点介绍了近年来水凝胶、3D打印支架等智能疝修补材料的研究,为外科医生选择补片提供一定参考依据。Hernia repair is one of the most common surgical procedures in the world.To restore the integrity of the physiological structure and function of the myofascial layer,abdominal wall hernia repair requires the implantation of meshes for reconstruction.With the rapid development of materials science,more than 200 types of hernia meshes have been applied in clinical practice,but the existing meshes still lack ideal structural design and face many postoperative complications.This article reviews the development and current situation of hernia meshes in detail,including metal materials,synthetic meshes,and biologic meshes,and focuses on the research of intelligent hernia repair materials such as hydrogel and 3D printing in recent years,which provides some reference for surgeons to select meshes.

关 键 词：疝 腹壁 补片 重建 智能材料 

分 类 号：R656[医药卫生—外科学] R318.08[医药卫生—临床医学]