造口旁疝的外科治疗现状及展望

造口旁疝是永久性肠造口术后最常见的远期并发症之一，属于造口旁腹壁切口疝的一种。其发病率逐年增加，虽然大部分造口旁疝患者无明显临床症状，或仅有轻微的腹部不适感，可通过保守治疗改善，但当患者出现严重腹痛、肠梗阻及腹部膨隆等并发症时常需手术治疗。手术方式主要包括3种：缝合修补术、造口移位术及补片修补术。对于有高危险因素的患者，可考虑在造口时预防性放置补片。复习国内外相关文献，就造口旁疝的外科治疗研究进展进行总结论述。

Status and prospects of surgical treatment of parastomal hernias

Parastomal hernia is one of the most common long-term complications after permanent enterostomy.Which is a type of parastomal abdominal incisional hernia.The incidence is increasing year by year.Although the majority of parastomal hernias are asymptomatic or only have a slight abdominal discomfort,which can be improved by conservative treatment,surgical treatment is often required when severe abdominal pain,intestinal obstruction and abdominal distension.The three major surgical approaches include suture repair,stoma translocation,and mesh repair.For patients with high risk factors,preventive placement of a mesh during an ostomy may be considered.This paper reviewed recent literatures,and summarize the research progress of surgical treatment of parastomal hernia.