中国实用外科杂志

• 普通外科进展(2000-2020) • 上一篇    下一篇

我国疝与腹壁外科发展和在新世纪创新挑战

唐健雄李绍杰   

  1. 复旦大学附属华东医院 疝和腹壁疾病治疗与培训中心,上海200040
  • 出版日期:2020-01-01 发布日期:2020-01-16

  • Online:2020-01-01 Published:2020-01-16

摘要: 我国疝与腹壁外科事业在近20年得到了快速的发展,在中华医学会外科学分会疝和腹壁外科学组(CHS)和中国医师协会外科医师分会疝和腹壁外科医师委员会(CCHS)两个学术组织的引领和指导下,对于各级外科医生的专业培训、学术活动都非常活跃,逐步形成了疝与腹壁外科的培训制度。我国的疝外科医生们在传承学习国外先进技术的同时,也在不断改良创新并完善自己的术式和技术,生物材料加强疝修补(tARB)技术、TES(TAS)技术、Lap-re-Do技术等手术方法在各类疝病治疗中都展现了良好的临床疗效。在积累以往经验的同时,我国疝外科专家们依据国情和实际情况,先后制定了几版的疝病专业指南及专家共识,目的就是为了能够更好地提高中国疝病的诊疗水平,并规范疝病诊治的基本要素。但是,在发展过程中还存在不足,下一阶段需要解决的问题包括:均衡发展各地区疝病诊疗水平、完善疝病治疗的质量控制体系、建立疝病病人登记注册制度、鼓励新技术和材料的发展应用等。

关键词: 疝与腹壁外科, 发展, 创新技术

Abstract: The development of hernia and abdominal wall surgery in China and the challenge of innovation in the new century        TANG Jian-xiong, LI Shao-jie.Hernia and Abdominal Wall Surgery Center, Huadong Hospital Affiliated to Fudan University,Shanghai200040,China
Corresponding author:TANG Jian-xiong,E-mail:johnxiong@
china.com
Abstract    The hernia and abdominal wall surgery in China has been developed rapidly in the last 20 years. Under the guidance of the two official associations, Chinese Hernia Society(CHS) and Chinese Hernia College of Surgeons(CHCS), academic activities have been active in the professional training of surgeons at all levels, gradually forming a training system for herniology. While inheriting and learning foreign advanced technology, hernia surgeons in China are constantly improving and innovating their own operation methods and techniques, the technique of abdominal wall reinforcement of biological mesh (tARB), TES (TAS) technology, Lap-re-Do technology and other surgical methods have shown good clinical results in all kinds of hernia treatment.In order to improve the diagnosis and treatment level and standardize the basic elements of hernia therapy, experts of hernia surgery in China have formulated several versions of professional guidelines and expert consensus according to national conditions.The author thinks that there are still some deficiencies in the process, and the problems include: change the unbalanced development in various regions, improvement of the quality control system of hernia treatment, establishment of the registration system of hernia patients, encouragement of the development and application of new technologies and materials, etc.

Key words: hernia and abdominal wall surgery, development, technology innovation