26例外伤性膈肌破裂及膈疝诊治分析  

Analysis of 26 cases with trauma midriff muscle breach and the midriff hernia

作　　者：黄学胜 

机构地区：[1]解放军第91中心医院外科,河南焦作454003

出　　处：《重庆医学》2008年第10期1079-1079,1081,共2页Chongqing medicine

摘　　要：目的探讨影响外伤性膈肌破裂及膈疝临床诊断和治疗效果的因素。方法对26例外伤性膈肌破裂和膈疝病例资料进行回顾性分析。结果26例中左侧膈肌破裂23例,形成膈疝20例;右侧膈肌破裂3例,形成膈疝1例。术前经体检、X线及CT检查确诊16例,术中探查确诊10例。全组病例均经手术治疗,痊愈25例,死亡1例。结论X线和CT检查是外伤性膈肌破裂和膈疝的重要诊断依据,确诊病例均应及时手术治疗。Objective To explore the diagnosis and the treating effect of trauma midriff muscle breach and the midriff hernia. Methods 26 cases with trauma midriff muscle breach and the midriff hernia were retrospectively analyzed. Results In 26 cases,23 had left midriff muscle breach. 20 cases had midriff hernia. 3 cases had the right midriff muscle breach and 1 case had midriff hernia. 16 cases had been examined before the operation,had X-ray and CT examination. 10 cases were examined in the operation. All the cases were operated,in which 25 cases were cured, 1 case died. Conclusion X-ray and CT examination are the key diagnosis evidence of the trauma midriff muscle breach and the midriff hernia. The diagnose cases should be operated on time.

关 键 词：膈肌破裂 膈疝 诊断 

分 类 号：R655.6[医药卫生—外科学]