近年来，关于腹壁核心的解剖和功能力学的认知有了长足的进步，对腹壁缺损如何影响人的生理和功能也有更深的认识，其治疗更强调术前评估优化和术后腹壁功能康复，因而提出了"腹壁核心健康（ACH）"的概念。ACH的定义、临床意义及评估方法对于腹壁外科疾病的诊断和治疗越来越显得重要，ACH中心和注册平台的建立更是促进了对腹壁外科疾病的系统性、多学科的研究和总结。ACH概念的提出拓展了腹壁外科领域的广度和深度，对腹壁外科的发展将产生积极的影响。

In recent years, there have been significant advancements in the understanding of the anatomy and functional mechanics of the abdominal core. There is now a deeper comprehension of how abdominal wall defects affect human physiology and function, emphasizing preoperative optimization and postoperative abdominal wall functional rehabilitation. This has led to the concept of "Abdominal Core Health (ACH)." The definition, clinical significance, and assessment methods of ACH are becoming increasingly important for the diagnosis and treatment of abdominal wall surgical diseases. The establishment of ACH centers and registries has further promoted systematic, multidisciplinary research and summarization of abdominal wall surgical diseases. The introduction of the abdominal core health concept has expanded the breadth and depth of the field of abdominal wall surgery, and will have a positive influence on its development.