[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fNIBxUTKEV52NU3AU-1WOgArqhNh39h0hm-IykBFZyB8":8,"$fXSIjyntdpPKtSu-lTZk9IBYjRG8ZcPUNbOBlzqNoj4Q":56,"$fz-xoOE6lsO1C_p0Ous6ycL13nBDzahaFHfO7Sya1utY":60},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":55},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":29,"seoKeywords":30,"seoDescription":31,"shelvesTime":32,"version":21,"menus":33,"menuId":35,"type":43,"quality":54,"commentCount":21,"isComment":43},6745,335,[],"https://ystcdn.venuertc.com/medical/ystApp/bOmpAzK0vfvYZgNdX7sFNtYEDMCuVYHb.png","屠亚君","上海市徐汇区中心医院","麻醉科","主治医师",24,0,"腹股沟疝，竟然真的会这么麻烦！ —— 什么是腹股沟疝及其治疗和预防","","https://ystcdn.venuertc.com/venue/AI/af8f8c62-00f6-43f1-9d1c-dbe7b12c6604.jpg","\u003Ch2 style=\"margin:20px 0\">腹股沟疝，竟然真的会这么麻烦！ —— 什么是腹股沟疝及其治疗和预防\u003C/h2>\u003Cp style=\"margin:15px 0\">你是否听过“腹股沟疝”？也许你或者身边的人都曾面临这个问题。最近，我遇到了很多关于这种疾病的讨论，为了增强大家对此的了解，今天我们一起来聊聊“腹股沟疝”到底是怎么回事，怎样治疗以及如何预防。\u003C/p>\u003Cp style=\"margin:15px 0\">腹股沟疝是指腹腔内容物（通常是肠子）通过腹壁的薄弱部位突入到下腹部，也就是常说的“疝气”。这种病在中老年男性中更为常见，尤其是70岁以上的老年患者。一个70岁的男性，身高170厘米，体重63公斤，因单侧腹股沟疝接受了腹腔镜下经腹膜前腹股沟疝补片修补术（TAPP）。让我们看看，他以及其他类似病例是如何取得治疗效果的。\u003C/p>\u003Ch3 style=\"margin:20px 0\">腹股沟疝的病因和危害\u003C/h3>\u003Cp style=\"margin:15px 0\">腹股沟疝的形成，通常与腹壁的薄弱和腹腔内压力的增加有关。老年人，尤其是年过70的患者，腹壁肌肉和筋膜逐渐老化、退化，保护内脏的能力减弱。而且年纪大的人更容易便秘、慢性咳嗽等，这些都会导致腹腔内压力增加，导致腹股沟疝的发生。\u003C/p>\u003Cp style=\"margin:15px 0\">腹股沟疝的早期症状可能并不明显，患者在劳累或用力时可能会感到腹股沟处有肿块或者疼痛，如果忽视治疗，肠子突入疝囊后会被卡住、无法回到原位置，最终可能引起肠梗阻或急性腹痛等严重情况，甚至危及生命。\u003C/p>\u003Cp style=\"margin:15px 0\">根据一项发表在《Hernia》期刊上的研究，腹股沟疝未经处理可能导致急性嵌顿的发生率为1-3%。另一项研究更详细地分析了老年患者的情况，发现70岁以上老年患者因疝气未及时处理导致并发症的风险更高 。\u003C/p>\u003Ch3 style=\"margin:20px 0\">腹股沟疝的治疗方案\u003C/h3>\u003Cp style=\"margin:15px 0\">腹股沟疝的治疗通常是通过手术修补。现代医疗技术的发展，使得很多手术已经变得微创且安全。上述的患者接受的“腹腔镜下经腹膜前腹股沟疝补片修补术（TAPP）”，就是一种先进的微创手术方式，其优点在于创伤小、恢复快。患者在术后数小时内即可下床活动，术后1-2周内恢复正常生活，术后疼痛及并发症较少。\u003C/p>\u003Cp style=\"margin:15px 0\">根据《Journal of the American College of Surgeons》统计，微创腹腔镜疝修补术患者的住院时间明显短于传统手术，大部分患者都能在术后24小时内出院 。此外，微创手术的复发率也比传统方法低 。\u003C/p>\u003Ch3 style=\"margin:20px 0\">如何预防腹股沟疝的发生\u003C/h3>\u003Cp style=\"margin:15px 0\">预防腹股沟疝，最重要的是保持腹壁的强壮和避免腹腔内压力突然升高。首先要加强锻炼，通过适度的腹肌锻炼增强腹壁的强度。此外要注意饮食，多吃蔬菜水果，保持大便通畅，避免便秘。慢性咳嗽者应积极治疗呼吸道疾病，避免长期剧烈咳嗽。\u003C/p>\u003Cp style=\"margin:15px 0\">饮食方面，保持均衡饮食，摄取足够的纤维质和水分对于预防便秘十分重要。老年人日常生活中应避免提重物，在需要用力的情况下，应做好保护动作，减少腹压突然升高的风险。\u003C/p>\u003Ch3 style=\"margin:20px 0\">未来的研究方向与热点\u003C/h3>\u003Cp style=\"margin:15px 0\">随着医学技术的进步，因腹股沟疝需再手术的复发率正在逐年下降。未来，人们会更多关注预防以及非手术治疗的研究，如通过小型的体内设备加强腹壁，甚至是通过干细胞疗法修复薄弱的筋膜和肌肉。虽然这些研究尚处于起步阶段，但也为将来带来了新的希望。\u003C/p>\u003Cp style=\"margin:15px 0\">罹患疾病后，患者最重要的是调节心态。面对病情需要保持乐观心态，积 极配合医生治疗。多了解病情，掌握康复知识，可以帮助自己更主动地面对与战胜疾病。\u003C/p>\u003Cp style=\"margin:15px 0\">作为患者家属，支持和陪伴是极为重要的。家人的关心和鼓励，能帮助患者树立信心，渡过难关。遵医嘱安排患者的日常生活，关注他们的心理变化，及时与医生沟通，能够为患者的康复提供坚强后盾。\u003C/p>\u003Ch3 style=\"margin:20px 0\"><引用文献>\u003C/h3>\u003Col style=\"padding: 0 1rem;margin: 1.25rem 1rem 1.25rem 0.4rem\">\u003Cli>\u003Cp style=\"margin:15px 0\">Rutkow IM, Robbins AW. Demographic, classificatory, and socio-economic aspects of hernia repair in the United States. Surgical Clinics of North America. 2003;83(5):1045-58.\u003C/p>\u003C/li>\u003Cli>\u003Cp style=\"margin:15px 0\">Primatesta P, Goldacre MJ. Inguinal hernia repair: Incidence of elective and emergency surgery, readmission and mortality. International Journal of Epidemiology. 1996;25(4):835-839.\u003C/p>\u003C/li>\u003Cli>\u003Cp style=\"margin:15px 0\">McCormack K, Scott NW, Go PM, Ross S, Grant AM. Laparoscopic techniques versus open techniques for inguinal hernia repair. The Cochrane Database of Systematic Reviews. 2003;1:CD001785.\u003C/p>\u003C/li>\u003Cli>\u003Cp style=\"margin:15px 0\">The EU Hernia Trialists Collaboration. Mesh compared with non-mesh methods of open groin hernia repair: Systematic review of randomized controlled trials. British Journal of Surgery. 2002;89(10):1248-1259.\u003C/p>\u003C/li>\u003C/ol>","\n\n你是否听过“腹股沟疝”？也许你或者身边的人都曾面临这个问题。最近，我遇到了很多关于这种疾病的讨论，为了增强大家对此的了解，今天我们一起来聊聊“腹股沟疝”到底是怎么回事，怎样治疗以及如何预防。\n\n腹",526,"2025-03-08 20:18:06"," 腹股沟疝：了解其症状、治疗与预防方法"," 腹股沟疝, 腹股沟疝症状, 腹股沟疝治疗, 腹股沟疝预防, 疝气手术, 疝气康复"," 本文详细介绍了腹股沟疝的症状、治疗方法及预防措施，帮助您了解如何有效应对这一常见但可能带来麻烦的健康问题。通过专业建议和实用信息，助您更好地管理腹股沟疝，提升生活质量。","2025-03-23 23:15:00",[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":37,"path":38,"component":39,"isFrame":40,"isCache":41,"menuType":42,"visible":43,"status":21,"createDept":6,"remark":23,"createTime":44,"children":45,"columnImage":46,"columnLogo":47,"uncheckedLogo":6,"checkedLogo":6,"isHot":43,"isHome":21,"forceLogin":21,"color":48,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":38,"componentInfo":39},"1986713082609147906","健康科普",2,"article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","高发轻症",true,{"code":9,"msg":10,"message":6,"data":57,"success":55},{"pageNo":43,"pageSize":58,"result":59,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":61,"success":55},{"authors":62,"appraiseDimensionScoresVos":63},[],[]]