腹部术后内疝的诊断治疗  

Dagnosis and treatment of postoperative abdominal hernias

作　　者：梁奎伟 宋越 

机构地区：[1]梅州市梅江区城西社区卫生服务中心,广东梅州514031

出　　处：《基层医学论坛》2011年第20期584-585,共2页The Medical Forum

摘　　要：目的探讨术后腹内疝发生的病因,提高对该病的认识、诊断及治疗水平。方法对我院经手术证实的17例腹内疝患者的临床资料进行回顾性分析。结果剖腹探查手术证实为胃大部切除毕Ⅱ式胃空肠吻合口后疝3例,食管空肠Roux-Y吻合口后疝2例,胆管空肠Roux-Y吻合口后疝2例,经腹腔粘连间隙疝5例,经肠系膜裂隙疝3例,造瘘口旁内疝1例,盆底裂隙疝1例。17例患者均行手术治疗,无死亡病例。结论腹内疝临床较少见,术前诊断困难,均以肠梗阻收入,对有手术史及腹部创伤史考虑腹内疝者,应及时行手术治疗,以防发生肠绞窄、肠坏死。Objective To discuss the causes of internal abdominal hernia so as to increase the diagnostic and therapeutic ability.Methods Retrospective analysis was done on 17 patients with internal abdominal hernia comfirmed by surgical operation.Results Surgery. confirmed complete gastrectomy type Ⅱ gastrojejunostomy stoma hernia, 3 cases of esophageal jejunal Roux-Y anastomosis in 2 eases after the hernia, biliary jejunal Roux-Y anastomosis in 2 cases after the hernia, hernia by abdominal adhesion and gap of 5 cases After three cases of mesenteric hernia crack, parastomal internal hernia in 1 case, 1 case of pelvic fracture hernia. With surgical treatment, no deaths.Conclusion The patients of internal abdominal hernia with operation or injury history in abdomen, who are inclined to be admitted to hospital as ileus due to diagnostic difficuhy, should be surgically operated at early stage so that intestinal strangulation and necrosis can be prevented.

关 键 词：腹部外科学 腹内疝 诊断 治疗 

分 类 号：R656.2[医药卫生—外科学]