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[小儿 Morgagni 膈疝]

[Morgagni diaphragmatic hernia in childhood].

作者信息

Vyhnánek M, Rygl M, Snajdauf J, Skába R, Kyncl M

机构信息

Klinika detské chirurgie 2. LF UK a FN Motol, Praha.

出版信息

Rozhl Chir. 2006 Oct;85(10):494-7.

Abstract

The aim of this work was to retrospectively assess clinical and anatomical features of children with Morgagni congenital diaphragmatic hernias. The study group included 5 boys and 3 girls, aged between 5 months and 13 years, at the time of the diagnosis. Morgagni diaphragmatic hernia was diagnosed with non-acute symptoms in 8 children. A retrosternal defect of the diaphragm was left-sided in 7 subjects and bilateral in 1 boy. A hernial sac was found in 6 children. In 3 subjects, the hernial sac contained the liver, in 2 subjects the omentum, in 2 subjects the transverse colon and small intestinal loops and in one child it contained the transverse colon with the omentum. In all cases, the diaphragmatic defect was closed using primary plasty. All subjects healed without complications. A differential diagnosis of congenital Morgagni hernia must be considered in children with unusual respiratory and gastrointestinal symptoms with abnormal x-ray findings on chest examination. A stricture of the congenital Morgagni diaphragmatic hernia is rare, and was not recorded in our group.

摘要

这项工作的目的是回顾性评估患有莫尔加尼先天性膈疝患儿的临床和解剖学特征。研究组包括5名男孩和3名女孩,诊断时年龄在5个月至13岁之间。8名儿童被诊断为莫尔加尼膈疝且症状不严重。7名受试者的膈肌胸骨后缺损位于左侧,1名男孩为双侧。6名儿童发现有疝囊。3名受试者的疝囊内有肝脏,2名受试者有网膜,2名受试者有横结肠和小肠袢,1名儿童的疝囊内有横结肠和网膜。所有病例均采用一期修补术闭合膈肌缺损。所有受试者均愈合且无并发症。对于胸部检查X线表现异常且有异常呼吸和胃肠道症状的儿童,必须考虑先天性莫尔加尼疝的鉴别诊断。先天性莫尔加尼膈疝狭窄罕见,我们组未记录到。

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