腹壁切口疝诊断和治疗指引2018年版-中国普通外科杂志.PDF

第 27 卷　第 7 期 中国普通外科杂志 Vol.27　No.7 2018 年 7 月 Chinese Journal of General Surgery Jul.　2018 doi: 10.3978/j.issn. 1005-6947.2018.07.002 ·指南与共识 · / 10.3978/j.issn. 1005-6947.2018.07.002 Chinese Journal of General Surgery, 2018, 27(7):808-812. 腹壁切口疝诊断和治疗指南（2018 年版） 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 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 中图分类号：R656.2 Guidelines for diagnosis and treatment of abdominal wall incisional hernia (2018 edition) 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 Abstract The abdominal wall incisional hernia is an iatrogenic condition and its clinical treatment is complicated, in which, many respects are involved, such as etiology, pathophysiology, classification, typing, and surgical methods. The 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