创伤性腹壁缺损的修复技术

Repair of traumatic abdominal wall defect

创伤性腹壁缺损的修复是一个有待探讨的复杂课题，目前尚无统一治疗标准，多根据患者病情行个体化治疗。根据创伤性腹壁缺损的特点，可将其修复方式分为4种类型：（1）创伤性全腹壁缺损的修复。（2）创伤性腹壁肌筋膜缺损的即时修复。（3）创伤性腹壁缺损的延期修复。（4）创伤性腹腔间隙综合征腹壁开放后缺损的处理。笔者相信随着新技术及新材料的不断发展，创伤性腹壁缺损的治疗理念和实践将会逐步改进和完善。

Repair for traumatic abdominal wall defect（TAWD） is a complex subject to be investigated. No consensus in the management of the subject has currently been reached, and the individualized treatment is performed based on TAWD. There are four kinds of type in repair of TAWD according to characteristics of the defect： （1） repair of traumatic full abdo-minal wall defect, （2） immediate repair of traumatic abdominal wall myofascial defect, （3） delayed repair of TAWD, （4） manage-ment of abdominal open following traumatic abdominal compartment syndrome. The concept and practice of treatment for TAWD will be gradually improved and perfect with development of new techniques and materials.