Cristofaro M G, Lazzaro F, Cafaro D, Natale R, Mauro P, Savino N, Musella S
Università degli Studi di Catanzaro Facoltà di Medicina e Chirurgia Cattedra di Chirurgia Generale.
Ann Ital Chir. 2000 Sep-Oct;71(5):595-8.
Starting from the observation of a case of late diagnosed left-side hernia after traumatic rupture of diaphragma, the authors consider the increasing incidence of this pathology during the years. The increased frequency of thoraco-abdominal traumas and the more sophisticated diagnostic tools, permit an earlier diagnosis nowadays. In our patient the diagnosis was made late on the basis of the standard x-ray of the thorax. The CT scan of the thorax and of the abdomen gave more informations. Left thoracotomy enabled a wide exposure of the herniated viscera; the breakthrough of the diaphragm was repaired by means of interrupted suture and it was necessary to apply two prostheses of synthetic material.
从观察到一例因膈肌外伤性破裂导致的晚期诊断左侧疝病例开始,作者考虑了这些年来这种病理情况发病率的上升。胸腹外伤频率的增加以及更先进的诊断工具,使得如今能够更早地做出诊断。在我们的患者中,基于胸部标准X线片诊断较晚。胸部和腹部的CT扫描提供了更多信息。左胸切开术能够广泛暴露疝出的脏器;通过间断缝合修复膈肌破裂处,并且有必要应用两片合成材料假体。