Du Ying, Huang Manli, Wang Shisong, Yang Libin, Lin Yunshou, Yu Wenguan, Pan Zikun, Ye Zhiyu
Health Science Center, Ningbo University, Ningbo, 315211, Zhejiang, China.
Department of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Ningbo University, No. 59 Liuting Street, Haishu District, Ningbo, 315010, China.
Hernia. 2025 Jul 7;29(1):222. doi: 10.1007/s10029-025-03417-5.
Diastasis recti abdominis (DRA) refers to the separation of the rectus abdominis muscles along the linea alba. Though traditionally viewed as a postpartum cosmetic issue, DRA has functional implications and affects both women and men.
A comprehensive literature review was conducted using PubMed, Web of Science, and Google Scholar, identifying 355 relevant publications over the past two decades. Priority was given to high-quality studies including randomized trials, observational studies, systematic reviews, and meta-analyses.
DRA is highly prevalent in postpartum and menopausal women, and increasingly recognized in males with risk factors such as obesity and aging. Diagnostic tools have evolved from clinical assessment to imaging modalities such as ultrasound, CT, MRI, and elastography. Conservative management, especially core stabilization, improves function in mild cases. Severe DRA may require surgical repair, including open, laparoscopic, or robotic-assisted techniques, often with mesh reinforcement. Rehabilitation and biomaterials enhance surgical outcomes. However, consensus is lacking on treatment indications and long-term efficacy.
Advances in diagnostics, surgical techniques, and rehabilitation have improved DRA management. Future efforts should focus on standardizing treatment criteria, enhancing personalized care, and evaluating long-term outcomes.
腹直肌分离（DRA）是指腹直肌沿白线分离。尽管传统上被视为产后美容问题，但DRA具有功能影响，且对女性和男性均有影响。
使用PubMed、科学网和谷歌学术进行了全面的文献综述，在过去二十年中识别出355篇相关出版物。优先考虑高质量研究，包括随机试验、观察性研究、系统评价和荟萃分析。
DRA在产后和绝经后女性中高度普遍，在肥胖和衰老等危险因素的男性中也越来越受到认可。诊断工具已从临床评估发展到超声、CT、MRI和弹性成像等成像方式。保守治疗，尤其是核心稳定，可改善轻度病例的功能。严重的DRA可能需要手术修复，包括开放、腹腔镜或机器人辅助技术，通常使用网片加强。康复和生物材料可提高手术效果。然而，在治疗指征和长期疗效方面缺乏共识。
诊断、手术技术和康复方面的进展改善了DRA的管理。未来的努力应集中在规范治疗标准、加强个性化护理和评估长期结果上。
