O'Connor J P, Rigby R J, Hardie I R, Wall D R, Strong R W, Woodruff P W, Petrie J J
Am J Nephrol. 1986;6(4):271-4. doi: 10.1159/000167174.
Twenty-five percent of all CAPD patients reviewed in this study developed abdominal hernias. Eleven hernias (32.4%) occurred at the catheter insertion site, 17.6% were inguinal, 26.5% were epigastric and umbilical and 23.5% occurred at the site of previous abdominal incisions. The risk of developing a hernia was significantly greater in patients over 40 years of age, women of parity greater than 3, patients who had had undergone more than 3 laparotomies and those with a previous hernia repair. Three hernias became incarcerated, one with intestinal strangulation. Early surgical repair is advisable to avoid these complications.
本研究中接受评估的所有持续性非卧床腹膜透析（CAPD）患者中有25%发生了腹部疝。11例疝（32.4%）发生在导管插入部位，腹股沟疝占17.6%，上腹部和脐部疝占26.5%，23.5%发生在既往腹部手术切口部位。40岁以上的患者、生育次数超过3次的女性、接受过3次以上剖腹手术的患者以及既往有疝修补术的患者发生疝的风险显著更高。3例疝发生嵌顿，1例伴有肠绞窄。建议早期进行手术修复以避免这些并发症。
