Morgagni疝——2例报告并文献复习  

Morgagni hernia:two cases report and review of the literature

作　　者：王福顺[1] 田子强[1] 李月考[1] 李廷海[1] 

机构地区：[1]河北医科大学第四医院胸外科,河北石家庄050011

出　　处：《罕少疾病杂志》2003年第2期18-20,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨Morgagni疝的诊断和治疗水平。方法报告2例中老年女性的Morgagni网膜疝的诊断和治疗过程,并结合文献进行讨论。 结果Morgagni疝90%发生在右侧,多由横结肠、小肠、大网膜、肝左叶或横结肠伴有部分网膜构成,肥胖、创伤或怀孕而导致腹内压增加可能是引起本病的原因。结论胸部X线、CT、钡灌肠、B超、气腹等检查可以确定诊断,经腹或腹腔镜手术是最好的治疗方法。ObjectiveTo improve the standards of diagnosis and treatment of Morgagni hernia.MethodsTwo adultwomen with Morgagni hernia of the omentum were reported. The process of diagnosis and treatment was described, and thediscussion was made combining with the literature.Results90% of Morgagni hernia were on the right side. The herniausually consisted of the transverse colon、the small intestine、the greater omentum、 the left lobe of the liver or the transversecolon with some omentum. The abdominal pressure increasing caused by obesity、 trauma or pregnancy might be the etiologyof Morgagni hernia.ConclusionsThe diagnosis of Morgagni hernia can be confirmed by chest X-ray、CT、barium enema、ultrasonography and pneumoperitoneum. Laparotomy or laparoscopic repair is the best procedure.

关 键 词：MORGAGNI疝 诊断 治疗 隔疝 病例报告 

分 类 号：R655.6[医药卫生—外科学]