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中华疝和腹壁外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (04) : 374 -378. doi: 10.3877/cma.j.issn.1674-392X.2026.04.004

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Miles术后会阴切口疝的外科治疗与术式选择
张荣华, 刘景磊, 石玉龙()   
  1. 250021 济南,山东第一医科大学附属省立医院胃肠外科
  • 收稿日期:2026-03-22 出版日期:2026-08-18
  • 通信作者: 石玉龙
  • 基金资助:
    山东省自然科学基金(ZR2024MH290); 山东第一医科大学(山东省医学科学院)临床科研先导专项(603D25010)

Surgical management and procedure selection for perineal hernia after Miles operation

Ronghua Zhang, Jinglei Liu, Yulong Shi()   

  1. Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
  • Received:2026-03-22 Published:2026-08-18
  • Corresponding author: Yulong Shi
引用本文:

张荣华, 刘景磊, 石玉龙. Miles术后会阴切口疝的外科治疗与术式选择[J/OL]. 中华疝和腹壁外科杂志(电子版), 2026, 20(04): 374-378.

Ronghua Zhang, Jinglei Liu, Yulong Shi. Surgical management and procedure selection for perineal hernia after Miles operation[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2026, 20(04): 374-378.

Miles术后会阴切口疝是指腹腔或盆腔脏器通过Miles术后形成的盆底缺损或薄弱区域向会阴部突出所致的疝性疾病。Miles术后会阴切口疝一旦形成,手术修补是唯一有效治疗手段。本文针对Miles术后会阴切口疝的发生机制及其外科治疗进展,重点围绕不同手术入路和修补方式的适应证、技术要点与疗效差异,探讨个体化术式选择策略,为临床规范诊治提供参考。

Perineal hernia after Miles' operation refers to a hernia in which abdominal or pelvic organs protrude through a pelvic floor defect or area of weakness resulting from the Miles procedure into the perineal region. Once a perineal hernia has developed after Miles' operation, surgical repair is the only effective treatment. This article focuses on the pathogenesis and surgical management of perineal hernia following Miles' operation, with particular emphasis on the indications, technical key points, and outcome differences of various surgical approaches and repair methods. It further discusses strategies for individualized procedure selection, in order to provide a reference for standardized clinical diagnosis and treatment.

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