Division of Thoracic Surgery, Heart, Lung, and Esophageal Surgery Institute, UPMC Presbyterian, Suite C-800, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
Thorac Surg Clin. 2009 Nov;19(4):469-72. doi: 10.1016/j.thorsurg.2009.08.004.
Bochdalek hernia is a rare surgical condition primarily diagnosed in infants. Morgagni hernia is more commonly identified in adults. A subset of patients with a Bochdalek hernia, especially those with a right-sided defect, may also be diagnosed during adulthood. Both adult forms of CDH may be discovered incidentally or diagnosed as part of the investigation of nonspecific gastrointestinal or respiratory symptoms. It is recommended that all adult CDH patients undergo surgical repair to prevent incarceration and strangulation of abdominal viscera. Currently, many reports have demonstrated the safety and efficacy of using open or minimally invasive repairtechniques, with or without mesh reinforcement. Regardless of the approach selected, surgical repair has been associated with low morbidity and mortality and excellent long-term outcomes with low rate of recurrence.
Bochdalek 疝是一种罕见的外科病症，主要发生在婴儿中。Morgagni 疝则更常见于成年人。一小部分 Bochdalek 疝患者，尤其是右侧缺陷的患者，也可能在成年时被诊断出来。两种成人型 CDH 都可能是偶然发现的，也可能是作为非特异性胃肠道或呼吸道症状调查的一部分被诊断出来的。建议所有成人 CDH 患者进行手术修复，以防止内脏嵌顿和绞窄。目前，许多报告已经证明了使用开放或微创修复技术的安全性和有效性，无论是否使用网片加强。无论选择哪种方法，手术修复都与低发病率和死亡率以及极好的长期结果相关，复发率低。
