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中华疝和腹壁外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (01) : 9 -17. doi: 10.3877/cma.j.issn.1674-392X.2025.01.002

指南与共识

腹壁切口疝诊疗指南(2024 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专家工作组   
  • 收稿日期:2024-12-09 出版日期:2025-02-18

Guidelines for diagnosis and treatment of abdominal wall incision hernia (2024 edition)

and Abdominal Wall Surgery Group of Chinese Society of Surgery of Chinese Medical Association Hernia, Working Group of Hernia and Abdominal Wall of Surgeons Society of Chinese Medical Doctor Association Expert   

  • Received:2024-12-09 Published:2025-02-18
引用本文:

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. 腹壁切口疝诊疗指南(2024 版)[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(01): 9-17.

and Abdominal Wall Surgery Group of Chinese Society of Surgery of Chinese Medical Association Hernia, Working Group of Hernia and Abdominal Wall of Surgeons Society of Chinese Medical Doctor Association Expert. Guidelines for diagnosis and treatment of abdominal wall incision hernia (2024 edition)[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(01): 9-17.

切口疝是一类医源性疾病,临床治疗复杂。近年来,在切口疝的诊断、手术方式、材料学方面都有新的进展。在《腹壁切口疝诊断和治疗指南(2018 年版)》的基础上,全国70 多名相关专业的专家经过协商讨论,并结合循证医学证据评价标准,在本次指南修订中针对复杂腹壁状态、腹壁功能不全、切口疝治疗原则、腹壁疝缺损关闭方法、围手术期处理、随访宣教等具体问题进行了增补或修订。请国内相关医疗机构和同行依据临床实际参照执行。

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.On the basis of the Guidelines for Diagnosis and Treatment of Abdominal Wall Incisional Hernia (2018 Edition), more than 70 experts and scholars over the country have discussed the consultation and modified the issues such as complex abdominal wall conditions, loss of domain, principles of incisional hernia treatment, techniques of abdominal wall hernia defects closure,perioperative management, and follow-up in this new edition, combined with evidence-based medical evaluation standards.The relevant medical institutions and peers in China are requested to carry out the actual clinical reference.

表1 本指南采用的证据级别和推荐强度分级
图1 切口疝疝囊容积比示意图
图2 修补材料在腹壁放置层次的示意图,分为腹壁肌肉前(上方箭头所示)、腹壁肌肉后(腹膜前)(中间箭头所示)、腹腔内腹膜面(下方箭头所示)
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