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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (03) : 251 -255. doi: 10.3877/cma.j.issn.1674-392X.2024.03.003

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复杂腹壁疝微共识：腹壁疝合并皮肤软组织或补片感染
《复杂腹壁疝微共识：腹壁疝合并皮肤软组织或补片感染》编审委员会, 《中华疝和腹壁外科杂志（电子版）》编辑委员会, 全国卫生产业企业管理协会疝和腹壁外科产业及临床研究分会复杂腹壁疝及减重专家组   
  1. 1. 安徽医科大学第一附属医院胃肠与疝外科，合肥　230022
  • 收稿日期:2024-04-29 出版日期:2024-06-18

Micro consensus on complex abdominal wall hernias: abdominal wall hernias with skin, soft tissue, or mesh infections

Editorial Committee of "Micro Consensus on Complex Abdominal Wall Hernias: Abdominal Wall Hernias with Skin, Soft Tissue, or Mesh Infections", Editorial Board of the "Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition)", Expert Group on Complex Abdominal Wall Hernias and Weight Loss Surgery, Hernia and Abdominal Wall Surgery Industry and Clinical Research Branch, National Health Industry Enterprise Management Association   

  • Received:2024-04-29 Published:2024-06-18
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《复杂腹壁疝微共识：腹壁疝合并皮肤软组织或补片感染》编审委员会, 《中华疝和腹壁外科杂志（电子版）》编辑委员会, 全国卫生产业企业管理协会疝和腹壁外科产业及临床研究分会复杂腹壁疝及减重专家组. 复杂腹壁疝微共识：腹壁疝合并皮肤软组织或补片感染[J]. 中华疝和腹壁外科杂志(电子版), 2024, 18(03): 251-255.

Editorial Committee of "Micro Consensus on Complex Abdominal Wall Hernias: Abdominal Wall Hernias with Skin, Soft Tissue, or Mesh Infections", Editorial Board of the "Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition)", Expert Group on Complex Abdominal Wall Hernias and Weight Loss Surgery, Hernia and Abdominal Wall Surgery Industry and Clinical Research Branch, National Health Industry Enterprise Management Association. Micro consensus on complex abdominal wall hernias: abdominal wall hernias with skin, soft tissue, or mesh infections[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(03): 251-255.

复杂腹壁疝是指巨大疝和（或）合并一系列并发症的腹壁疝。其中感染是腹壁疝修补手术失败的主要因素之一，腹壁疝合并感染主要包括以下范畴：（1）腹壁疝合并皮肤软组织感染；（2）腹壁疝合并腹壁或腹腔隐匿性感染；（3）腹壁疝合并补片感染；（4）腹壁疝合并补片感染导致的复杂情况（如器官侵蚀、组织清创切除后巨大缺损）等。腹壁疝合并感染如处理不当，会导致再感染或疝复发，需多次手术处理，不仅增加患者和医保成本，且严重影响患者生活质量和对医生的信任度[1]。此类患者的治疗理念与常规腹壁疝修补手术大不相同，对疝外科医生具有挑战性，因而要求在术前及术中对感染进行严格评估、认真把握手术时机、选择恰当手术方式和加强围手术期管理。此外对采取分期治疗（一期清创与补片取出，二期修复重建），还是同期修补也存在争议。目前对腹壁疝合并感染的临床诊疗尚未形成统一的认识，更缺少相关指南与共识，临床处理大多遵循个体化原则。本共识结合腹壁疝合并感染的最新研究与观点，经编审委员会专家反复讨论形成，以期为临床诊疗提供一定的借鉴与参考。

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