崁顿疝自行复位致肠破裂5例临床分析  

Clinical Analysis of 5 Cases of Intestinal Rupture Caused by Self-Resetting of Incarcerrated Hernia

作　　者：张茂[1] 郑斌[1] Zhang Mao;Zheng Bin(Department of General Surgery,Sichuan Fourth People's Hospital,Chengdu Sichuan 610016,China)

机构地区：[1]四川省第四人民医院普外科,四川成都610016

出　　处：《大医生》2019年第4期173-174,共2页Doctor

摘　　要：目的探讨腹股沟崁顿疝自行复位后果的严重性和不安全性。方法回顾性分析5例崁顿疝病人自行复位导致的肠破裂,继发性腹膜炎及疝的处理方法和疗效。结果本组5例均行疝侧剖腹探查,行修补肠穿孔或肠切肠吻合,冲洗腹腔并在腹腔内高位缝合疝内环口,术后均恢复满意,无疝囊积液,感染及疝复发。结论疝一旦崁顿绝不能自行复位,应及时手术处理,这既解除了崁顿和肠梗阻,又避免肠穿孔、肠坏死及继发性腹膜炎。Objective To explore the severity and insecurity of the self-resetting of the incarcerated hernia.Methods A retrospective analysis of the intestinal rupture caused by self-resetting of 5 cases with incarcerated hernia.The treatment and efficacy of secondary peritonitis and hernia were also analyzed.Results All of the five patients in this group were examined by laparotomy.The incision was made to repair bowel perforation or intestinal incision,and rinse the abdominal cavity and suture the inner ring in the abdominal cavity.The postoperative recovery of the cases was satisfactory.No hernial sac fluid,infection and no hernia recurrence were observed.Conclusion The hernia must not be relocated by himself,and surgical treatment should be performed in time.This can both the removes the incarcerated of the hernia and intestinal obstruction,and also avoid intestinal perforation,intestinal necrosis and secondary peritonitis.

关 键 词：崁顿疝 肠破裂 自行复位 继发性腹膜炎 

分 类 号：R65[医药卫生—外科学]