Department of Radiology, Saitama Children's Medical Center, Saitama, Japan.
Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital, Tsukuba, Japan.
J Ultrasound Med. 2019 Apr;38(4):1109-1113. doi: 10.1002/jum.14777. Epub 2018 Oct 22.
This report describes the evaluations of 2 patients with congenital diaphragmatic hernias using ultrasound (US). Identifying the size of the diaphragmatic defect is important when determining the type of surgical repair required. In case 1, the US evaluation of a Bochdalek hernia showed the rim of the anterolateral diaphragm; therefore, thoracoscopic primary repair was performed. In case 2, (Morgagni-Larrey hernia), US revealed the left side of a retrosternal diaphragmatic hernia sac; therefore, thoracoscopic repair from the left thorax was performed. Ultrasound was useful for detecting the location and defect size of the diaphragmatic hernia and determining optimal surgical management.
本报告介绍了 2 例先天性膈疝患者的超声（US）评估。在确定所需的手术修复类型时，确定膈缺损的大小很重要。在病例 1 中，膈疝的 US 评估显示前外侧膈的边缘；因此，进行了胸腔镜下原发性修复。在病例 2 中（ Morgagni-Larrey 疝），US 显示胸骨后膈疝囊的左侧；因此，从左侧胸腔进行了胸腔镜修复。超声有助于检测膈疝的位置和缺损大小，并确定最佳手术治疗方案。
