左侧十二指肠旁疝的临床诊治分析  

Clinical analysis of left paraduodenal hernia

作　　者：杜华英[1] 

机构地区：[1]枣庄市立医院,山东枣庄277100

出　　处：《中医临床研究》2012年第11期100-101,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨左侧十二指肠旁疝(Landzert疝)发生的原因,提高对少见腹内疝病例的早期诊断及治疗水平。方法:分析15年来我们收治的腹内疝病例中5例左侧十二指肠旁疝(Landzert疝)。结果:在术后证实为左侧十二指肠旁疝的5例病例中,发生肠坏死3例,均行疝复位裂孔修补、肠切除吻合后治愈。结论:腹内疝术前诊断困难,尤其是先天性腹膜形成的孔道、间隙造成的腹内疝诊断更为困难。对无手术史,经常腹痛或肠梗阻表现者,结合腹部CT等相关辅助检查的特异表现,应考虑先天性腹内疝的可能,并应早期诊断及时手术,以防发生肠绞窄,肠坏死。Objective： To investigate CAUSE of the left paraduodenal hernia（Landzert hernia）,to improve the level of early diagnosis and treatment in the rare cases of abdominal hernia.Methods： To analyze the cases of abdominal hernia in 15 years,five cases were treated.Results： Tin 5 cases,3 cases with the occurrence of intestinal necrosis were cured after surgery.Conclusion： Abdominal hernia preoperative diagnosis is difficult,especially congenital diagnosis more difficult.Performers with no history of surgery,often abdominal pain or bowel obstruction after abdominal CT and other examinations of specific patients,should consider the possibility of congenital abdominal hernia,and early diagnosis,prompt surgery,to prevent the occurrence of intestinal strangulation,intestinal necrosis.

关 键 词：腹内疝 Landzert疝 诊断 

分 类 号：R656.2[医药卫生—外科学]