腹腔镜检查在漏诊膈肌破裂的诊断和治疗中的作用。
The role of laparoscopy in the diagnosis and treatment of missed diaphragmatic rupture.
作者信息
Matz A, Landau O, Alis M, Charuzi I, Kyzer S
机构信息
Department of Surgery B, Wolfson Medical Center, Holon, P.O.B. 5, Holon 58100, Israel.
出版信息
Surg Endosc. 2000 Jun;14(6):537-9. doi: 10.1007/s004640000112.
BACKGROUND
Diaphragmatic rupture is one of the most commonly missed injuries in trauma cases. Traditionally, laparotomy or thoracotomy has been the treatment of choice for this condition.
METHODS
During the last 2 years, we treated three patients laparoscopically to address neglected diaphragmatic ruptures that caused herniation of the intraabdominal contents.
RESULTS
In all three cases, laparoscopy succeeded in identifying the diaphragmatic defect, so that the herniated viscera could be released and the defect repaired primarily or with a prosthesis. The intraoperative and the postoperative courses were uneventful; there were no significant complications.
CONCLUSION
Laparoscopy has an important role in the surgical treatment of missed diaphragmatic ruptures.
背景
膈肌破裂是创伤病例中最常被漏诊的损伤之一。传统上，剖腹手术或开胸手术一直是这种病症的首选治疗方法。
方法
在过去2年中，我们对3例患者进行了腹腔镜手术，以处理导致腹腔内容物疝出的被忽视的膈肌破裂。
结果
在所有3例病例中，腹腔镜检查成功识别出膈肌缺损，从而可以松解疝出的内脏，并对缺损进行一期修复或使用假体修复。术中和术后过程均顺利；无明显并发症。
结论
腹腔镜检查在漏诊的膈肌破裂的外科治疗中具有重要作用。
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