基于腹壁力学结构与功能的切口疝治疗策略

Treatment strategies for incisional hernia based on the mechanical structure and function of abdominal wall

腹壁是一个具有多种功能的复杂器官,其功能的实现依赖于力学结构,包括腹壁功能单位和力学传导系统。腹壁力学结构具有完整性、对称性、各向异性、可支配性等特性,与腹壁功能的有效发挥密切相关,也与患者的生命质量息息相关。切口疝的治疗应充分考虑上述因素,在手术原理上合理设计,才能使患者有更大获益。笔者以现有研究为基础,从腹壁力学结构与功能角度分析目前切口疝主要修补手术方式的原理及合理性,为探讨切口疝的治疗策略提供参考和依据。

The abdominal wall is a complex organ with multiple functions,and its func-tionality depends on the mechanical structure,including the abdominal wall functional units and the mechanical conduction system.The mechanical structure of abdominal wall has characteristics such as integrity,symmetry,anisotropy and dominability,which are closely related to the effective func-tioning of the abdominal wall and the quality of life of patients.The treatment of incisional hernia should fully consider the above factors and make the surgical design more reasonable in order to provide greater benefits to patients.Based on existing research,the authors analyze the principles and rationality of the main surgical methods for incisional hernia repair from the perspective of abdominal wall mechanical structure and function,in order to provide reference and basis for exploring treatment strategies for incisional hernia.