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[成人先天性膈膨升的胸腔镜折叠术]

[Thoracoscopic Plication for Congenital Diaphragmatic Eventration in an Adult].

作者信息

Tatsumi Ai, Watanabe Fumiaki, Adachi Katsutoshi, Matsuda Akitoshi, Nobuoka Yu, Yuasa Hiroyuki, Shimomura Makoto, Tanigawa Kanji

机构信息

Department of Thoracic Surgery, Mie Chuo Medical Center, Tsu, Japan.

出版信息

Kyobu Geka. 2021 Oct;74(11):930-933.

Abstract

Thoracoscopic plication for congenital diaphragmatic eventration in an adult. Diaphragmatic eventration is known to be abnormal elevation of diaphragm and congenital causes are due to abnormal diaphragm muscle development. Here we report surgical treatment of congenital diaphragmatic eventration. A 45-year-old woman who complained of cough was admitted to our hospital. She had history of cough and was diagnosed as diaphragmatic eventration in childhood. Chest X-ray showed elevated left hemidiaphragm with a bowel gas underneath. Under the diagnosis of congenital eventration of left hemidiaphragm, plication of the left diaphragm by video-assisted thoracoscopic surgery (VATS) was performed. One month after surgery, severe cough disappeared completely.

摘要

成人先天性膈膨升的胸腔镜折叠术。膈膨升是指膈肌异常抬高,先天性病因是由于膈肌肌肉发育异常。在此我们报告先天性膈膨升的手术治疗。一名45岁主诉咳嗽的女性入住我院。她有咳嗽病史,童年时被诊断为膈膨升。胸部X线显示左半膈肌抬高,下方有肠气。在诊断为左半膈肌先天性膨升后,通过电视辅助胸腔镜手术(VATS)对左膈肌进行了折叠术。术后1个月,严重咳嗽完全消失。

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