腹腔直流:一个全面的审查
Ying Du1,2, Manli Huang1,2, Shisong Wang1
1Health Science Center, Ningbo University, Ningbo, 315211, Zhejiang, China.
概括
腹部直径扩张 (DRA),肌肉分离,影响许多女性和男性. 诊断和治疗方面的进展,包括手术和康复,正在改善患者的结果,尽管需要更多的研究.
科学领域:
- 腹壁的重建 腹壁的重建
- 肌肉骨系统疾病 肌肉骨系统疾病
- 骨盆地功能障碍 骨盆地功能障碍
背景情况:
- 腹部直流 (DRA) 是腹部肌肉的分离,通常被视为美容,但具有功能影响.
- DRA影响女性和男性,在产后和更年期妇女中流行率很高,在肥胖或衰老的男性中流行.
- DRA的危险因素包括肥胖,衰老和怀孕,突出了它的多因素性质.
研究的目的:
- 审查目前对腹部直径扩散的诊断和管理策略.
- 综合有关DRA保守和外科治疗的证据.
- 识别DRA的知识缺口和未来的研究方向.
主要方法:
- 在过去二十年中对355个出版物的综合文献综述.
- 搜索的数据库包括PubMed,科学网和谷歌学者.
- 优先考虑高质量的研究:随机试验,观察性研究,系统审查和元分析.
主要成果:
- DRA在产后/更年期妇女中普遍存在,在男性中越来越多地被认可 (肥胖,衰老).
- 诊断工具范围从临床评估到高级成像 (超声波,CT,MRI,弹性图像).
- 保守 (核心稳定) 和手术 (开放式,腹腔镜,机器人) 治疗方法存在,康复和生物材料改善了结果;缺乏关于指示和疗效的共识.
结论:
- 在DRA诊断,手术技术和康复方面取得了重大进展.
- 标准化治疗标准和个性化护理对于未来的DRA管理至关重要.
- 需要进一步的研究来评估各种DRA治疗的长期疗效.
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