摘要
目的探讨腹内疝的临床特点及治疗方法。方法回顾分析腹内疝9例患者临床资料(先天性腹内疝3例,获得性腹内疝6例)。结果 1例术前诊断腹内疝,1例术前诊断先天性小肠旋转不良;腹腔镜探查4例并确诊,其中3例行腔镜修复。本组患者平均住院时间11.6d。对照组术后伤口血肿1例,伤口感染2例,1例因ARDS死亡,实验组患者未发现严重并发症。平均随访52个月,无复发。结论腹内疝发病率低,临床表现无特异性,较难确诊,而发生肠坏死后疾病可迅速恶化,即使已行手术治疗,诊断延误仍可导致严重的后果。腹腔镜在疾病探查及手术过程以其高效的诊断及微创的优势成为腹内疝诊断和治疗的首选。
Objective To explore the clinical characteristics and treatment of internal abdominal hernia. Methods A total of 9 cases including 3 cases of congenital and 6 cases of acquired internal abdominal hernias were retrospectively analyzed. Results Only 2 cases were diagnosed before exploration. Four cases were diagnosed by laparoscopic exploration and three of them were laparoscopically resolved. The mean hospital stay was 11.6 days. Three cases occurred complication,including one cases of wound hematoma and two were infected. One died of ARDS after operation in the control group and no major complication was observed in the experimental group. The mean duration of follow-up for this group was 52 months. There was no recurrence. Conclusions The number of intra-abdominal hernia was low and difficult to be early diagnosed due to its non-specific clinical manifestation. The illness might aggravate when a segment of hernia- ted intestine was strangulated. The delayed suspect of internal abdominal hernia might result in severe illness even after a definite surgery. Laparoscopic procedures showed successful exploration and definite surgery in serious cases of internal abdominal hernia. The efficacy and the advantages of lower traumatic feature by laparoscopic exploration might qualify it as the first choice for the patients with the suspected with internal abdominal hernia.
出处
《中华疝和腹壁外科杂志（电子版）》
2012年第1期30-33,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹腔镜
肠坏死
发病率
Hernia
Laparoseopes
Bowel necrosis
Incidence rate
