腹内疝的早期诊治要点  

Clinical diagnosis and treatment of internal abdominal hernia

作　　者：王琦[1] 邹力[1] 童仕伦[1] 沈世强[1] 

机构地区：[1]武汉大学人民医院普通外科,武汉430060

出　　处：《国际外科学杂志》2012年第9期582-584,共3页International Journal of Surgery

摘　　要：目的探讨腹内疝的早期诊治要点。方法总结2001年1月-2011年12月武汉大学人民医院普通外科收治的38例腹内疝患者的临床资料，并对其特点进行回顾性分析。结果本组38例患者，为粘连带所导致者50％（19／38）；CT检查阳性率为65％（13／20），术前正确诊断率为73．7％（28／38）；从入院到手术时间平均18h（3～78h）；所有疝内容物均为小肠，44．7％（17／38）出现肠坏死，平均切除肠管长度为53cm（15—170cm）；死亡及短肠综合征各1例，严重并发症发病率为5．3％（2／38）。结论中国腹内疝的成因以非典型疝为主，器械检查率及阳性率均不高；正确认识腹内疝的临床特点可实现早期诊治，并减少严重并发症的发生。Objective To evaluate the preoperative diagnosis and treatment of internal abdominal hernia. Methods The clinical data from 38 patients with internal abdominal hernia, admitted to our hospital during the period from Jan. 2001 to Dec. 2011 were retrospectively analyzed. Results There were 50% （19/38） patients of internal abdominal hernia caused by adhesion. Positive rate of CT detection was 65% （13/20） and the correct percent of preoperative diagnosis was 73.7% （28/38）. Average time from admission to surgery was 18 h （3-78 b）. There were 44.7% （17/38） patients with intestinal necrosis and the average length of intestinal removal was 53 cm （ 15-170 cm）. The rate of serious complication was 5.3% （2/38）. Conclusions Atypical hernia was the main cause of internal abdominal hernia, and it is hard to diagnose early for the poorly positive rate of equipment inspection. Early diagnosis and treatment is possible when we correctly understood of the clinical features of internal abdominal hernia, then we can reduce the occurrence of serious complications.

关 键 词：疝 腹部 早期诊断 手术 治疗 

分 类 号：R656.2[医药卫生—外科学]