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梅斯作为媒体参与第五届东方疝论坛盛大落幕

2017-02-27 MedSci MedSci原创

 由华山医院外科和上海中西医结合学会主办的第五届东方疝论坛暨第一届亚太疝协会Hernia Essential项目期间,来自印度、新加坡、印尼、泰国和中国等亚太多个国家和地区的疝学界领军人才汇集申城。这些国内外疝学界顶级专家就疝学科的现状及发展展开对话与交流,以期提高疝病的治疗效果。  据悉,疝多数发生在腹壁,是由于各种原因使腹壁组织薄弱,导致腹腔内脏器(如小肠等)从薄弱处突出,

 由华山医院外科和上海中西医结合学会主办的第五届东方疝论坛暨第一届亚太疝协会Hernia Essential项目期间,来自印度、新加坡、印尼、泰国和中国等亚太多个国家和地区的疝学界领军人才汇集申城。这些国内外疝学界顶级专家就疝学科的现状及发展展开对话与交流,以期提高疝病的治疗效果。



  据悉,疝多数发生在腹壁,是由于各种原因使腹壁组织薄弱,导致腹腔内脏器(如小肠等)从薄弱处突出,在腹壁上形成肿块。大会执行主席、亚太疝学会的执行委员、华山医院疝与腹壁外科学术带头人姚琪远教授说:在疝病种,除了腹股沟疝和食道裂孔疝等原发性疝病外,不少外科手术的切口、肠造口都会形成疝。这位专家说,仅以腹股沟疝为例,60岁以上人患病率约30%。姚琪远表示,近20年来,在疝与腹壁外科专家的共同努力下,中国疝与腹壁外科事业的发展突飞猛进,各种术式广泛开展,手术量成倍增长,手术技术日益完善,机器人疝修补术已不再新奇。但是,技术日益精湛的专家们依然困惑于复发、感染、慢性疼痛、腹壁功能欠缺等问题。


  据了解,本次论坛主办方之一——上海华山医院疝与腹壁外科早在2000年就在中国率先地开展了腹腔镜下的腹股沟疝修补术和腹腔镜下的切口疝修补术等微创手术。对腹壁疝中治疗最为棘手的造口旁疝,经典的手术方式存在复发率高、手术效果差强人意、术后外观及造口功能恢复不佳等问题,姚琪远教授团队在积累大量临床经验的基础上,创新发明了造口旁疝的新术式,复发率、患者的腹壁外观、造口功能恢复等都有较大改观,在国内外引起极大关注。

  当日论坛上,“男人的腹膜前间隙要留给泌尿外科医生吗?”“腹股沟疝组织修补技术过时了吗?”“网塞技术应该被淘汰吗?”“谁是疝修补术后慢性疼痛的罪魁祸首,技术、补片还是病人?”“切口疝修补的未来是术式改变还是材料改变?”等疝病诊疗前沿话题为国内外专家们聚焦和争鸣。

  虽然疝的患病人数众多,但事实上,很多人并不知晓,有人把疝当做难言之隐,还有人不知道怎样正确就医。姚琪远说,疝都需要手术干预,越早干预效果越好。虽然疝是外科医生入门培训的“四大金刚”项目之一。但是,姚琪远坦言,目前该手术仍缺乏严格的技术规范和标准化培训。


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    2017-03-01 一闲
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