摘要
目的探讨膈疝复发的原因及处理。方法总结分析2012年1月至2016年12月我们收治的7例复发性膈疝患儿临床资料。结果术中发现初次手术时有3例膈肌缺损边缘分辨不清;1例胸壁缘膈肌缺损,未完全修补;2例膈肌撕裂;另1例未见明显手术痕迹。7例患儿均再次行膈疝修补术,其中1例患儿术后因合并脓毒血症治疗无效死亡,6例患儿痊愈出院,随访5个月至4年8个月,均未见再复发。结论膈疝复发除与膈疝本身的特点有关外,更多的是与术者手术操作有关。把握一定的手术原则,能明显降低膈疝的复发率。
Objective To explore the causes and treatments of recurrent congenital diaphragmatic herni-a. Methods Retrospective analyses were performed for 7 cases of recurrent congenital diaphragmatic hernia from January 2012 to December 2016. Results During operations,among 3 with an indistinguishable dia-phragmatic margin,1 was incompletely repaired and 2 had diaphragmatic tearing.All of them received dia-phragmatic re-repairing and 6 recovered and discharged.And 1 case died due to septicemia.During a follow -up period of 5 -56 months,there was no recurrence. Conclusions Besides the characteristic of congenital di-aphragmatic hernia,recurrence of congenital diaphragmatic hernia is more related to operative handling.Ob-serving surgical principles may lower the recurrence rate of congenital diaphragmatic hernia.
作者
刘威
汪凤华
Liu Wei Wang Fenghua.(Department of Thoracic Surgery, Municipal Women ＆ Children＇s Medical Center, Guangzhou 510120, China)
出处
《临床小儿外科杂志》
CAS
2017年第1期41-43,共3页
Journal of Clinical Pediatric Surgery
关键词
疝
横膈/先天性
复发
原因分析
Hernia
Diaphragmatic /CN
Recurrence
Cause Analysis
