关闭或不关闭:在后部分离后,与后部直肠的关闭相关的形态变化
Kevin Connors1, Ian Bussey1, Andrew Broda1
1Department of Surgery, Luminis Health Anne Arundel Medical Center, 2001 Medical Parkway, Annapolis, MD, 21401, USA.
Surgical endoscopy
|October 23, 2025
概括
在腹修复后关闭后背直肠 (PRS) 显著减少直肠腹肌宽度,并使半月线更接近. 这与弥合PRS形成鲜明对比,导致更广泛的肌肉分离.
科学领域:
- 腹壁的重建 腹壁的重建
- 腹腔 Hernia 修复 修复 腹腔
- 手术解剖学手术解剖学
背景情况:
- 在用于修复腹的分部分离后,对后直肠 (PRS) 的管理缺乏共识.
- 关于PRS关闭对腹壁肌肉的形态和功能影响的数据有限.
研究的目的:
- 为了评估后背直肠 (PRS) 关闭后直肠肌肉的形态变化,与在分离组件后用腹膜支PRS.
- 调查PRS管理对直腹肌宽度和半月线距离的影响.
主要方法:
- 90名接受PRS释放用于腹修复的患者的回顾性审查 (2016-2022年).
- 患者被分为PRS封闭或PRS支的组.
- 截面成像分析了直肠肌肉宽度和半月线距离在多个腹部水平.
主要成果:
- 与支架相比,关闭PRS显著减少了中腹,腹和下腹半月线之间的距离.
- 在PRS封闭组与PRS支组相比,直肠肌肉宽度在中腹,腹和下腹部显著减少.
- 后释放后,两组都显示直腹肌宽度增加,但PRS支组表现出更大的增加.
结论:
- 释放PRS导致直腹肌在封闭和支的队列中扩大.
- 关闭PRS有效地减少了半月线间的距离,这表明腹壁张力恢复了.
- PRS管理显著影响直腹部形态,关闭在肌肉宽度上具有较为保守的效果.
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