腹壁切口疝诊断和治疗指南(2025版)  

Guidelines for diagnosis and treatment of abdominal wall incision hernia(2025 edition)

作　　者：中华医学会外科学分会疝与腹壁外科学组 中国医师协会外科医师分会疝和腹壁外科专家工作组 唐健雄[2] 陈双[3] 周太成 李绍杰[5] Hernia and Abdominal Wall Surgery Group of Chinese Society of Surgery of Chinese Medical Association;Expert Working Group of Hernia and Abdominal Wall of Surgeons Society of Chinese Medical Doctor Association;Tang Jianxiong;Chen Shuang(不详;Department of General Surgery,Huadong Hospital,Fudan University,Shanghai 200040,China;Department of Hernia and Abdominal Wall Surgery,the Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,Chian)

机构地区：[1]不详 [2]复旦大学附属华东医院普通外科,上海200040 [3]中山大学附属第六医院疝和腹壁外科,广州510655 [4]中山大学附属第六医院 [5]复旦大学附属华东医院

出　　处：《中华胃肠外科杂志》2025年第3期236-245,共10页Chinese Journal of Gastrointestinal Surgery

摘　　要：腹壁切口疝是一类医源性疾病,临床治疗复杂。近年来,在腹壁切口疝的诊断、手术方式、材料学方面都有新的进展。中华医学会外科学分会疝与腹壁外科学组和中国医师协会外科医师分会疝和腹壁外科专家工作组共同组织国内70多位相关研究领域的专家,在结合循证医学证据评价标准和参阅相关文献的基础上,经过反复讨论,对2018年版的《腹壁切口疝诊断和治疗指南》进行了修订。主要针对复杂腹壁状态、腹壁功能不全、腹壁切口疝的治疗原则、腹壁疝缺损关闭方法、围手术期处理以及随访宣教等具体问题进行了增补或修改,形成《腹壁切口疝诊断和治疗指南(2025版)》,供临床医师参考与实践。Incisional hernia is a type of iatrogenic disease,and its clinical treatment is complicated.In recent years,there have been new advances in the diagnosis,surgical methods,and materials science of incisional hernias.Based on the Guidelines for Diagnosis and Treatment of Abdominal Wall Incisional Hernia(2018 Edition),more than 70 domestic experts have evaluated related publications using standards of evidenced-based medicine.Issues such as complex abdominal wall status,loss of domain,principles of incisional hernia treatment,techniques of abdominal wall hernia defects closure,perioperative management,and follow-up have been modified in the 2025 edition for the reference of clinicians.

关 键 词：疝 腹壁切口 分类 诊断 手术治疗 腹腔镜 材料 指南 

分 类 号：R656.2[医药卫生—外科学]