摘要
目的探讨低位半月线疝临床诊断与治疗。方法回顾性分析2010年1月至2014年12月,杭州市第一人民医院疝和腹壁外科中心收治的12例低位半月线疝患者临床资料,包括一般情况、临床表现、诊断方法、手术方式、术后早期并发症和随访结果。结果 12例患者均顺利完成手术治疗,8例择期手术,4例急诊手术,术后平均住院时间4.6(2~8)d,随访时间(36±16)个月。术后血清肿患者2例,无其他术后并发症。结论低位半月线疝易误诊为直疝,发生嵌顿概率大,即使无症状,也不主张观察等待,一经诊断,建议手术治疗。
Objective To discuss the diagnosis and treatment of low spigelian hernia （SH）.Methods 12 patients underwent treatment for low SH in Hangzhou First People′s Hospital between January 2010 and December 2014 were retrospectively reviewed.Analysis parameters included demographic data, location of defect, diagnostic methods, operation methods and postoperative outcome.Results All operations were successfully performed.8 patients underwent elective surgery, while 4 cases were emergency surgery.The length of hospitalization was 4.6 days （ranged from 2 to 8 days）.The follow-up was （36±16） months.There were 2 case of seroma, no other complications.Conclusion Low SH has difficulties in preoperative diagnosis with high risk of bowel incarceration or strangulation.Once the diagnosis of SH is established, a surgical treatment is indicated.
出处
《中华疝和腹壁外科杂志（电子版）》
2017年第4期259-261,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
疝修补术
腹腔镜
低位半月线疝
补片
Hernia,Herniorrhaphy
Laparoscopes
Low spigelian Hernia,Mesh
