Jawad A J, al-Sammarai A Y, al-Rabeeah A
Division of Paediatric Surgery, Medical College, King Khalid University Hospital, Riyadh, Saudi Arabia.
J R Coll Surg Edinb. 1991 Aug;36(4):222-4.
Diaphragmatic plication is a safe, well tolerated procedure for congenital diaphragmatic eventration. It is the treatment of choice in neonates with respiratory distress following phrenic nerve injury. The abdominal approach is as good as the thoracic and may be safer in cases with central eventration and when the diagnosis of congenital diaphragmatic hernia cannot be excluded with confidence. However, in phrenic nerve paralysis the thoracic approach is superior in showing the anatomical distribution of the phrenic nerve. Experience with eight paediatric patients treated for diaphragmatic eventration is reported. Five had congenital eventration of the diaphragm and three had acquired eventration. All patients except one required surgical plication of the diaphragm. Three patients developed minor postoperative complications and all patients were alive and well on follow-up. It appears that diaphragmatic plication is a safe and well tolerated procedure for symptomatic diaphragmatic eventration.
膈肌折叠术是治疗先天性膈膨升的一种安全且耐受性良好的手术方法。它是膈神经损伤后出现呼吸窘迫的新生儿的首选治疗方法。经腹入路与经胸入路效果相当，在中央型膈膨升以及不能排除先天性膈疝诊断的情况下，经腹入路可能更安全。然而，在膈神经麻痹的情况下，经胸入路在显示膈神经的解剖分布方面更具优势。本文报道了8例接受膈肌折叠术治疗的儿科患者的经验。其中5例为先天性膈膨升，3例为后天性膈膨升。除1例患者外，所有患者均需行膈肌手术折叠术。3例患者出现轻微术后并发症，所有患者随访时均存活且情况良好。膈肌折叠术似乎是治疗有症状的膈膨升的一种安全且耐受性良好的手术方法。
