文章摘要

腹壁切口疝诊断和治疗指南(2018 年版)

作者: 1中华医学会外科学分会 疝与腹壁外科学组, 1中国医师协会外科医师分会 疝和腹壁外科医师委员会
1 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医师委员会
通讯: 中华医学会外科学分会 疝与腹壁外科学组 Email: johnxiong@china.com
中国医师协会外科医师分会 疝和腹壁外科医师委员会 Email: sysusc@126.com
DOI: 10.3978/.2018.07.002

摘要

腹壁切口疝的临床治疗是复杂的,属于医源性疾病。它涉及到病因、病理生理、分类及分型、手术方法等方面。结合我国近 4 年的临床实际情况,在《腹壁切口疝诊断和治疗指南(2014 年版)》的基础上,经国内 50 余位专家学者的共同讨论、修订,完成了《腹壁切口疝诊断和治疗指南(2018 年版)》的撰写。对定义、病因、病理生理、分类及分型、诊断、鉴别诊断、治疗等方面进行了全面更新,指出了循证医学证据支持的观点、措施及方法。请国内有关医疗机构和同行依据临床实际参照执行。
关键词: 切口疝 / 诊断;切口疝 / 治疗;指南

Guidelines for diagnosis and treatment of abdominal wall incisional hernia (2018 edition)

Authors: 1Group of Hernia and Abdominal Wall Surgery of Society of Surgery of Chinese Medical Associ, 1Committee of Hernia and Abdominal Wall Surgeons of Chinese College of Surgeons
1 Group of Hernia and Abdominal Wall Surgery of Society of Surgery of Chinese Medical Association, Committee of Hernia and Abdominal Wall Surgeons of Chinese College of Surgeons

CorrespondingAuthor:Group of Hernia and Abdominal Wall Surgery of Society of Surgery of Chinese Medical Associ Email: johnxiong@china.com

Abstract

Th e abdominal wall incisional hernia is an iatrogenic condition and its clinical treatment is complicated, in which, many respects are involved, such as etiology, pathophysiology, classifi cation, typing, and surgical methods. Th e compilation of “Guidelines for diagnosis and treatment of abdominal wall incisional hernia (2018 edition)” was completed on the basis of “Guidelines for diagnosis and treatment of abdominal wall incisional hernia (2014 edition)” by the joint discussion and amendments of more than 50 experts and scholars in China, according to the clinical practice in our country in the recent 4 years. In the current edition, the definition, etiology, pathophysiology, classifi cation, typing, diagnosis, diff erential diagnosis, treatment and other related aspects are systematically updated, and the viewpoints, measures and methods supported by evidence-based medicine are pointed out. Th e relevant medical institutions and professionals in China are requested to use this document as a reference in clinical practice.
Keywords: Incisional Hernia/diag; Incisional Hernia/ther; Guidebooks