膈肌解剖异常类疾病的诊断和处理  

Diagnosis and treatment of diseases with diaphragmatic anatomic abnormalities

作　　者：嵇振岭 JI Zhenling(Department of General Surgery,Nanjing Jiangbei Hospital,Jiangsu Nanjing 210044,China;Department of General Surgery,Zhongda Hospital,Southeast University,Jiangsu Nanjing 210009,China)

机构地区：[1]南京江北医院普外科,江苏南京210044 [2]东南大学附属中大医院普外科,江苏南京210009

出　　处：《外科理论与实践》2024年第4期296-299,共4页Journal of Surgery Concepts & Practice

摘　　要：因膈肌解剖异常发生的疾病主要有食管裂孔疝、食管裂孔旁疝、膈疝、膈肌缺如和膈膨升。膈肌的良、恶性肿瘤不在此讨论范围。由于对这类疾病认识不足,影像学检查应用不当,临床诊断常常混淆。本文拟结合国外文献和笔者的经验,提出“膈肌解剖异常类疾病”的概念。目的是对这类疾病进行归纳汇总,并对这类疾病的处理进行概要的描述,从而有利于加强对该类疾病的认识和处理。Hiatal hernia,para⁃hiatal hernia,diaphragmatic hernia,diaphragmatic agenesis and diaphragmatic eventration are the main types of the diseases with diaphragmatic anatomic abnormalities.Benign and malignant tumors of the diaphragm are not discussed in this paper.Caused by the lack of knowledge about these diseases,improper imaging,clinical diagnosis is often confusing.Based on the literatures and our own experience,this paper proposes the concept of“diseases with diaphragmatic anatomic abnormalities”.The purpose is to summarize these diseases,and briefly describe the treatment methods,and to help strengthen the understanding and treatment of such diseases.

关 键 词：膈肌 解剖异常 食管裂孔疝 膈疝 膈肌缺如 膈膨升 

分 类 号：R656.6[医药卫生—外科学]