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基于欧洲疝学会(EHS)分类的腹壁疝手术前后影像学表现。

Pre- and postsurgical imaging findings of abdominal wall hernias based on the European Hernia Society (EHS) classification.

作者信息

Aluja-Jaramillo Felipe, Cifuentes-Sandoval Sebastián, Gutiérrez Fernando R, Bhalla Sanjeev, Menias Christine O

机构信息

Department of Radiology, Hospital Universitario San Ignacio - Pontificia Universidad Javeriana, Carrera 7 No 40 - 62, 110231, Bogotá, Colombia.

Department of Radiology, Pontificia Universidad Javeriana, Bogotá, Colombia.

出版信息

Abdom Radiol (NY). 2021 Nov;46(11):5055-5071. doi: 10.1007/s00261-021-03211-8. Epub 2021 Jul 22.

Abstract

Abdominal wall hernias are common and can present as technical challenges to surgeons. When large, hernias diminish quality of life. Various classifications of incisional hernias have been proposed; however, there are many terms, sometimes causing confusion (1). Radiologists must know the normal anatomy of the abdominal wall, the CT protocol, and what if any maneuvers can be performed to better identify an abdominal wall defect. The description of the radiological approach for primary and incisional wall hernias is based on the 2007 European Hernia Society classification, with particular emphasis on presurgical and postsurgical imaging findings. This classification provides a simple and reproducible method to describe hernias to offer proper surgical management. We highlight this classification so that radiologists and surgeons can have a unified language.

摘要

腹壁疝很常见,对外科医生来说可能构成技术挑战。疝较大时会降低生活质量。人们已经提出了多种切口疝的分类方法;然而,术语众多,有时会造成混淆(1)。放射科医生必须了解腹壁的正常解剖结构、CT检查方案,以及为更好地识别腹壁缺损可采取的任何操作。原发性和切口疝的放射学检查方法描述基于2007年欧洲疝学会的分类,特别强调术前和术后的影像学表现。这种分类提供了一种简单且可重复的方法来描述疝,以便进行适当的手术管理。我们强调这种分类,以便放射科医生和外科医生能有统一的术语。

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