CAJ | 학술논문

疝是普通外科的常见病、多发病,自20世纪70年代起,疝和腹壁外科领域的概念逐步更新,发展非常迅速.无张力疝修补的概念就起源于这一时期,现代疝和腹壁外科的理念正是在这一基础上不断更新.这些新的发展包括疝的诊断与治疗指南和质量控制标准的制订;解剖学的重新认识和腹壁功能的定义;疝外科治疗的基本原则;手术治疗的适应证、禁忌证;手术方式的进展与选择;以及术后并发症的预防和处理,术后康复的评价,生命质量改善,复发率,外观效果与远期预后等.笔者将阐述最新的、需要引起外科医师重视的相关问题,目的是让外科医师进一步了解新的学术观点,使疝和腹壁外科的诊断与治疗更加规范,以期达到更加满意的治疗结果.
산시보통외과적상견병、다발병,자20세기70년대기,산화복벽외과영역적개념축보경신,발전비상신속.무장력산수보적개념취기원우저일시기,현대산화복벽외과적이념정시재저일기출상불단경신.저사신적발전포괄산적진단여치료지남화질량공제표준적제정;해부학적중신인식화복벽공능적정의;산외과치료적기본원칙;수술치료적괄응증、금기증;수술방식적진전여선택;이급술후병발증적예방화처리,술후강복적평개,생명질량개선,복발솔,외관효과여원기예후등.필자장천술최신적、수요인기외과의사중시적상관문제,목적시양외과의사진일보료해신적학술관점,사산화복벽외과적진단여치료경가규범,이기체도경가만의적치료결과.
Hernia is a common and frequent disease.Theory of hernia and abdominal wall surgery has been quickly developing since 1970s, since then tension-free repair concept was originated.Continuous development of modern hernia surgery and abdominal wall surgery is based on this concept.New viewpoints include conduction of guideline of diagnosis and treatment for hernia and quality control standard, recognition of anatomy, definition of abdominal wall, concept of basic treatment principle, indication and contraindication for surgical treatment,development and choice of procedures, prevention and therapy of complications, evaluation of postoperative rehabilitation, improvement of quality of life, recurrence rate, appearance, longterm prognosis, etc.This paper describes the latest and important related issues in order to help surgeons to know new concepts, further standardize diagnosis and treatment and finally achieve satisfactory therapeutic efficacy.