切换至 "中华医学电子期刊资源库"

中华疝和腹壁外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (01) : 4 -7. doi: 10.3877/cma.j.issn.1674-392X.2021.01.002

所属专题: 文献

综述

腹直肌分离症的外科诊疗研究进展
李光兴1, 申英末2,()   
  1. 1. 100043 北京,首都医科大学第三临床医学院
    2. 100043 首都医科大学附属北京朝阳医院疝和腹壁外科
  • 收稿日期:2020-09-11 出版日期:2021-02-18
  • 通信作者: 申英末

Research progress on diagnosis and surgical treatment of diastasis rectus abdominis

Guangxing Li1, Yingmo Shen2,()   

  1. 1. The Third Clinical Medical College of Capital Medical University, Beijing 100043, China
    2. Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100043, China
  • Received:2020-09-11 Published:2021-02-18
  • Corresponding author: Yingmo Shen
引用本文:

李光兴, 申英末. 腹直肌分离症的外科诊疗研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(01): 4-7.

Guangxing Li, Yingmo Shen. Research progress on diagnosis and surgical treatment of diastasis rectus abdominis[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(01): 4-7.

腹直肌分离(DRA)是指腹白线两侧腹直肌肌腹相互分离的现象,并伴有白线组织的伸展,导致腹前壁的肌群力量下降,伴或不伴有腹部外形的改变,从而引起一系列生理功能障碍的疾病。目前DRA已经逐渐引起相关外科医师的重视。国内外关于DRA的外科治疗的研究较少,本文就DRA的病因、诊断及外科治疗的研究进展做一综述。

Diastasis rectus abdominis (DRA) refers to the phenomenon of rectus abdominis muscle separation on both sides of the alba line, accompanied by the extension of the alba line tissue, resulting in the decline of the muscle group strength of the anterior abdominal wall, with or without the change of the abdominal shape, thereby causing a series of physiological dysfunction. At present, DRA has gradually attracted the attention of related surgeons. There are few studies on the surgical treatment of DRA at home and abroad. This article reviews the research progress on the etiology, diagnosis and surgical treatment of DRA.

[1]
Michalska A, Rokita W, Wolder D, et al. Diastasis recti abdominis - a review of treatment methods[J]. Ginekol Pol, 2018, 89(2): 97-101.
[2]
Axer H, Von Keyserlingk DG, Prescher A. Collagen fibers in linea alba and rectus sheaths[J]. J Surg Res, 2001, 96(2): 239-245.
[3]
Sperstad JB, Tennfjord MK, Hilde G, et al. Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain[J]. Br J Sports Med, 2016, 50(17): 1092-1096.
[4]
Moesbergen T, Law A, Roake J, et al. Diastasis recti and abdominal aortic aneurysm[J]. Vascular, 2009, 17(6): 325-329.
[5]
Benjamin DR, Frawley HC, Shields N, et al. Relationship between diastasis of the rectus abdominis muscle(DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review[J]. Physiotherapy, 2019, 105(1): 24-34.
[6]
竺佳晟,李金辉. 产后腹直肌分离的评估与治疗研究进展[J]. 中华物理医学与康复杂志, 2019, 41(10): 793-796.
[7]
Emanuelsson P, Gunnarsson U, Dahlstrand U, et al. Operative correction of abdominal rectus diastasis(ARD) reduces pain and improves abdominal wall muscle strength: A randomized, prospective trial comparing retromuscular mesh repair to double-row, self-retaining sutures[J]. Surgery, 2016, 160(5): 1367-1375.
[8]
Mommers EHH, Ponten JEH, Al Omar AK, et al. The general surgeon's perspective of rectus diastasis. A systematic review of treatment options[J]. Surg Endosc, 2017, 31(12): 4934-1949.
[9]
Liaw LJ, Hsu MJ, Liao CF, et al. The relationships between inter-recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: a 6-month follow-up study[J]. J Orthop Sports Phys Ther, 2011, 41(6): 435-443.
[10]
Beer GM, Schuster A, Seifert B, et al. The normal width of the linea alba in nulliparous women[J]. Clin Anat, 2009, 22(6): 706-711.
[11]
Chiarello CM, Falzone LA, Mccaslin KE, et al. The effects of an exercise program on diastasis recti abdominis in pregnant women[J]. Journal of Women’s Health Physical Therapy, 2005, 29(1): 11-16.
[12]
Gitta S, Magyar Z, Tardi P, et al.[Prevalence, potential risk factors and sequelae of diastasis recti abdominis][J]. Orv Hetil, 2017, 158(12): 454-460.
[13]
Da Mota PGF, Pascoal AGBA, Carita AIAD, et al. Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain[J]. Man Ther, 2015, 20(1): 200-205.
[14]
Mendes DDA, Nahas FX, Veiga DF, et al. Ultrasonography for measuring rectus abdominis muscles diastasis[J]. Acta Cir Bras, 2007, 22(3): 182-186.
[15]
Barbosa S, De Sá RAM, Coca Velarde LG. Diastasis of rectus abdominis in the immediate puerperium: correlation between imaging diagnosis and clinical examination[J]. Arch Gynecol Obstet, 2013, 288(2): 299-303.
[16]
Van De Water ATM, Benjamin DR. Measurement methods to assess diastasis of the rectus abdominis muscle(DRAM): a systematic review of their measurement properties and meta-analytic reliability generalisation[J]. Man Ther, 2016, 21: 41-53.
[17]
Gerber P, Anderin C, Thorell A. Weight loss prior to bariatric surgery: an updated review of the literature[J]. Scand J Surg, 2015, 104(1): 33-39.
[18]
Awad M, Morsy M, Mohamed M, et al. Retracted: efficacy of tupler technique on reducing post natal diastasis recti: a controlled study[J]. Curr J Appl Sci Tech, 2016, 1-8.
[19]
朱望爱,王乐丹,胡越. 腹直肌分离研究进展[J]. 浙江医学, 2020, 42(5): 525-528.
[20]
Nicola F, Catherine S. Dose-response relationship of resistance training in older adults: a meta-analysis[J]. Br J Sports Med, 2011, 45(3): 233-234.
[21]
高倩,张凤,高赛楠, 等. 仿生物电刺激疗法治疗产后腹直肌分离疗效的研究[J]. 实用临床医药杂志, 2020, 24(9): 73-76.
[22]
Palanivelu C, Rangarajan M, Jategaonkar PA, et al. Laparoscopic repair of diastasis recti using the 'Venetian blinds' technique of plication with prosthetic reinforcement: a retrospective study[J]. Hernia, 2009, 13(3): 287-292.
[23]
Shirah BH, Shirah HA. The Effectiveness of polypropylene mesh in the open and laparoscopic repair of divarication of the recti[J]. J Med Implants Surg, 2016, 1(1): 1-4.
[24]
Nahas FX, Ferreira LM, Mendes JDA. An efficient way to correct recurrent rectus diastasis[J]. Aesthetic Plast Surg, 2004, 28(4): 189-196.
[25]
Liang MK, Berger RL, Nguyen MT, et al. Outcomes with porcine acellular dermal matrix versus synthetic mesh and suture in complicated open ventral hernia repair[J]. Surg Infect(Larchmt), 2014, 15(5): 506-512.
[26]
Gama LJM, Barbosa MVJ, Czapkowski A, et al. Single-layer plication for repair of diastasis recti: the most rapid and efficient technique[J]. Aesthet Surg J, 2017, 37(6): 698-705.
[27]
Bellido Luque J, Bellido Luque A, Valdivia J, et al. Totally endoscopic surgery on diastasis recti associated with midline hernias. The advantages of a minimally invasive approach. Prospective cohort study[J]. Hernia, 2015, 19(3): 493-501.
[28]
Mommers EHH, Leenders BJM, Leclercq WKG, et al. A modified chevrel technique for ventral hernia repair: long-term results of a single centre cohort[J]. Hernia, 2017, 21(4): 591-600.
[29]
乐飞,郝晓辉,李健文, 等. 腹腔镜辅助腹白线重建术治疗产后腹直肌分离的临床疗效[J]. 中华消化外科杂志, 2018, 17(11): 1122-1126.
[30]
Köhler G, Fischer I, Kaltenböck R, et al. Minimal invasive linea alba reconstruction for the treatment of umbilical and epigastric hernias with coexisting rectus abdominis diastasis[J]. J Laparoendosc Adv Surg Tech A, 2018, 28(10): 1223-1228.
[31]
Köckerling F, Botsinis MD, Rohde C, et al. Endoscopic-assisted linea alba reconstruction: New technique for treatment of symptomatic umbilical, trocar, and/or epigastric hernias with concomitant rectus abdominis diastasis[J]. Eur Surg, 2017, 49(2): 71-75.
[32]
李炳根,龚独辉,缪锦超, 等. 完全腔镜下腹直肌后修补术治疗中线腹壁疝的新尝试[J]. 中华医学杂志, 2018, 98(36): 2933-6. DOI: 10.3760⁄sma.j.izzn.0376-2491.2018.36.012.
[33]
Quilichini J, Leyder P. Simultaneous prosthetic mesh abdominal wall reconstruction with abdominoplasty for ventral hernia and severe rectus diastasis repairs[J]. Plast Reconstr Surg, 2016, 137(1): 252e-254e.
[34]
Al Chalabi H, Larkin J, Mehigan B, et al. A systematic review of laparoscopic versus open abdominal incisional hernia repair, with meta-analysis of randomized controlled trials[J]. Int J Surg, 2015, 20: 65-74.
[35]
黄永刚,王平,叶静, 等. 微小切口开放腹膜前手术在腹壁疝修补中的临床应用[J/OL]. 中华疝和腹壁外科杂志(电子版), 2019, 13(1): 21-26.
[36]
Reinpold W, Schröder M, Berger C, et al. Mini- or less-open sublay operation(MILOS): a new minimally invasive technique for the extraperitoneal mesh repair of incisional hernias[J]. Ann Surg, 2019, 269(4): 748-755.
[37]
Schwarz J, Reinpold W, Bittner R. Endoscopic mini/less open sublay technique(EMILOS)-a new technique for ventral hernia repair[J]. Langenbecks Arch Surg, 2017, 402(1): 173-180.
[38]
Holihan JL, Nguyen DH, Nguyen MT, et al. Mesh location in open ventral hernia repair: a systematic review and network meta-analysis[J]. World J Surg, 2016, 40(1): 89-99.
[39]
李俊,李雨洁,李倩, 等. 产后腹直肌分离症的整形外科治疗[J]. 中华整形外科杂志, 2019, 35(12): 1209-1212.
[40]
Emanuelsson P, Gunnarsson U, Strigård K, et al. Early complications, pain, and quality of life after reconstructive surgery for abdominal rectus muscle diastasis: a 3-month follow-up[J]. J Plast Reconstr Aesthet Surg, 2014, 67(8): 1082-1088.
[41]
陈松耀,戴伟钢,陈创奇. 生物补片在疝与腹壁外科的临床应用进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2018, 12(2): 90-93.
[1] 王亚红, 蔡胜, 葛志通, 杨筱, 李建初. 颅骨骨膜窦的超声表现一例[J/OL]. 中华医学超声杂志(电子版), 2024, 21(11): 1089-1091.
[2] 唐金侨, 叶宇佳, 王港, 赵彬, 马艳宁. 医学影像学检查方法在颞下颌关节紊乱病中临床应用研究进展[J/OL]. 中华口腔医学研究杂志(电子版), 2024, 18(06): 406-411.
[3] 屈翔宇, 张懿刚, 李浩令, 邱天, 谈燚. USP24及其共表达肿瘤代谢基因在肝细胞癌中的诊断和预后预测作用[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 659-662.
[4] 赵林娟, 吕婕, 王文胜, 马德茂, 侯涛. 超声引导下染色剂标记切缘的梭柱型和圆柱型保乳区段切除术的效果研究[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 634-637.
[5] 熊鹰, 林敬莱, 白奇, 郭剑明, 王烁. 肾癌自动化病理诊断:AI离临床还有多远?[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(06): 535-540.
[6] 袁雨涵, 杨盛力. 体液和组织蛋白质组学分析在肝癌早期分子诊断中的研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 883-888.
[7] 王秋生. 胆道良性疾病诊疗策略[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 779-782.
[8] 中华医学会器官移植学分会. 肝移植术后缺血性胆道病变诊断与治疗中国实践指南[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 739-748.
[9] 郑大雯, 王健东. 胆囊癌辅助诊断研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 769-773.
[10] 中国抗癌协会, 中国抗癌协会大肠癌专业委员会. 中国恶性肿瘤整合诊治指南-肛管癌(2024 版)[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 441-449.
[11] 李浩, 陈棋帅, 费发珠, 张宁伟, 李元东, 王硕晨, 任宾. 慢性肝病肝纤维化无创诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 863-867.
[12] 谭瑞义. 小细胞骨肉瘤诊断及治疗研究现状与进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 781-784.
[13] 王子阳, 王宏宾, 刘晓旌. 血清标志物对甲胎蛋白阴性肝细胞癌诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 677-681.
[14] 陈慧, 邹祖鹏, 周田田, 张艺丹, 张海萍. 皮肤镜对头皮红斑性皮肤病辅助鉴别诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 692-698.
[15] 胡云鹤, 周玉焯, 付瑞瑛, 于凡, 李爱东. CHS-DRG付费制度下GB1分组住院费用影响因素分析与管理策略探讨[J/OL]. 中华临床医师杂志(电子版), 2024, 18(06): 568-574.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?