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Updated: Feb 4, 2026

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在和扩散时腹壁功能:评估方法和临床相关性的系统性审查
Francesco Brucchi1, Rosangela Gilardini2, Andrea Vetere2
1University of Milan, Via Festa del Perdono 7, Milan, Italy. francesco.brucchi@unimi.it.
Hernia : the journal of hernias and abdominal wall surgery
|February 2, 2026
概括
恢复白直线可以改善腹壁功能和生活质量,在患有直径扩张或的患者. 为了更好的外科指导,需要标准化的评估和更长的随访.
科学领域:
- 手术结果和患者的康复情况.
- 腹壁的重建和功能功能.
- Hernia 修复和扩散直管管理.
背景情况:
- 腹壁功能 (AWF) 对患有直径扩张 (DR) 和腹腔/切口的患者至关重要.
- 目前的AWF评估方法不一致,时间和方法缺乏标准化.
- 本综述解决了对这些患者群体AWF评估的综合证据的需求.
研究的目的:
- 系统地审查和综合关于如何评估DR和腹腔/切口的患者的腹壁功能的证据.
- 批判性地评估各种AWF评估策略的临床价值和有效性.
- 确定当前研究中的差距,并为标准化的AWF评估提出未来方向.
主要方法:
- 系统审查遵循PRISMA指导方针,搜索MEDLINE,Scopus,Embase和CENTRAL. 这些指导方针包括:
- 包括使用客观措施 (例如,动力计,物理测试) 和患者报告的结果措施 (PROMs) 来评估手术前和手术后AWF的研究.
- 使用RoB-2进行随机试验和MINORS用于观察性研究的偏差风险评估.
主要成果:
- 九项研究 (2项RCT,7项前性队列;n=688) 通过动力测量,临床试验和PROM评估了AWF.
- 手术前的AWF一直受到损害;白线的手术恢复显示了干部强度,临床测量和PROM的显著改善.
- 长期的好处,包括节制,在3年后观察到产后腹膜异位症患者.
结论:
- 恢复白线与AWF的显著改善以及DR和患者患者患者报告的结果有关.
- 标准化的核心结果集,将客观测试与疾病特定的PROM结合起来,至关重要.
- 长期的多中心后续研究对于完善外科决策和制定临床指南至关重要.
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