Alves A, Maximiano L, Fujimura I, Pires P W, Birolini D
General Surgery and Trauma Services, University of São Paulo Medical School, Brazil.
Arq Gastroenterol. 1996 Jan-Mar;33(1):32-5.
Lumbar hernias are very uncommon conditions. Less than 300 cases have been reported in the literature. They result from defects in the posterolateral abdominal wall. The authors report their experience with four lumbar hernias managed at the "Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo" from 1973 to 1993. Age ranged from 54 to 63 years. Three were female, two had right hernias and two had left ones. All patients were treated surgically. Three were repaired by simple suture. The main complications were early recurrence (one case) and infections (one case). In one, a prosthetic mesh (polypropylene) was used to repair the defect, and the recovery was uneventful. Surgical treatment is always indicated in Grynfelt hernia. Approximation of the muscles by primary nonabsorbable suture, grafts or prosthesis are very adequate therapeutic options for lumbar hernias.
腰椎疝是非常罕见的病症。文献报道的病例不足300例。它们是由后外侧腹壁的缺陷引起的。作者报告了他们在1973年至1993年期间在“圣保罗大学医学院临床医院”处理的4例腰椎疝的经验。年龄在54岁至63岁之间。3例为女性，2例为右侧疝，2例为左侧疝。所有患者均接受了手术治疗。3例通过简单缝合修复。主要并发症为早期复发（1例）和感染（1例）。其中1例使用人工合成网片（聚丙烯）修复缺损，恢复顺利。格伦费尔特疝总是需要进行手术治疗。通过不可吸收的初级缝线对肌肉进行拉拢、移植或使用假体是腰椎疝非常合适的治疗选择。
