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中华疝和腹壁外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (05) : 589 -593. doi: 10.3877/cma.j.issn.1674-392X.2026.05.017

综述

肌少症相关性腹外疝的研究进展
张兴洲, 张楠†()   
  1. 300100 天津市南开医院胃肠外科
  • 收稿日期:2025-11-16 出版日期:2026-10-18
  • 通信作者: 张楠
  • 基金资助:
    河北省中医药管理局科研计划项目(T2025040、T2025038); 天津市教委科研计划项目(2024KJ246)

Advances in research on sarcopenia-associated abdominal wall hernias

Xingzhou Zhang, Nan Zhang†()   

  1. Department of Gastrointestinal Surgery, Nankai Hospital, Tianjin 300100, China
  • Received:2025-11-16 Published:2026-10-18
  • Corresponding author: Nan Zhang
引用本文:

张兴洲, 张楠. 肌少症相关性腹外疝的研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2026, 20(05): 589-593.

Xingzhou Zhang, Nan Zhang. Advances in research on sarcopenia-associated abdominal wall hernias[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2026, 20(05): 589-593.

腹外疝是普通外科最常见疾病之一,其病理生理机制尚未完全明确,传统筋膜薄弱理论存在一定局限性。肌少症是与年龄相关的肌肉量减少及功能下降的综合征,近年来被证实与腹外疝的发生、发展及预后密切相关。本文系统梳理了肌少症与腹外疝(包括脐部穿刺孔疝、复杂腹壁疝、腹股沟疝、造口旁疝、切口疝)的关联性研究,肌少症对腹外疝手术预后的影响及干预治疗策略等方面的最新进展,旨在为肌少症相关性腹外疝的临床和基础研究提供参考。

Abdominal wall hernias are among the most common conditions encountered in general surgery, but their pathophysiological mechanisms remain incompletely understood. The conventional theory that attributes hernia formation primarily to fascial weakness has certain limitations. Sarcopenia is an age-associated syndrome characterized by loss of skeletal muscle mass and impaired muscle strength and physical function. Increasing evidence suggests that sarcopenia is associated with the occurrence, progression, and prognosis of abdominal wall hernias. This review comprehensively summarizes recent research on the associations between sarcopenia and various types of abdominal wall hernias, including umbilical trocar-site hernias, complex abdominal wall hernias, inguinal hernias, parastomal hernias, and incisional hernias. It also discusses the impact of sarcopenia on surgical outcomes following abdominal wall hernia repair and potential intervention and treatment strategies. The aim is to provide a reference for future clinical and basic research on sarcopenia-associated abdominal wall hernias.

图1 肌少症定义的更新历程
图2 肌少症与腹外疝的核心关联图
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