成人先天性膈疝的治疗效果

Serkan Erkan, H. Yabanoğlu, Ramazan Gündoğdu, M. Kuş, Murathan Erkent
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引用次数: 0

摘要

背景:横膈膜疝是由于横膈膜缺损引起的腹部器官向胸腔移位。它可以是先天性的或获得性的(1)。先天性膈疝是bochadalec疝和morgagni疝。获得性膈疝也可以自发或医源性发生(2)。在治疗中建议手术修复。我们的目的是介绍我们在先天性膈疝手术的经验。材料与方法:回顾性分析2011年1月至2020年12月我中心先天性膈疝手术患者的资料。有多项资料不足的患者被排除在研究之外。符合标准的12例患者纳入了我们的研究。记录这些患者的人口统计资料、入院投诉、术前影像学、缺陷定位、手术程序、住院时间、早期和晚期并发症以及死亡率。结果:男性7例(58%),女性5例(42%)。平均年龄为60岁(34-84岁)。所有患者的诊断均经计算机断层扫描证实。所有患者均行手术治疗。平均住院时间为4(1-8)天。在早期,2例(16%)患者有栓塞,2例(16%)患者有伤口问题。2例(16%)死亡。结论:先天性膈疝多在儿童期诊断,但在高龄时诊断困难。治疗方法为手术治疗,成功率高,发病率和死亡率低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adult Congenital Diaphragmatic Hernia Treatment Results
Abstract Backgrounds: Diaphragmatic hernia is the displacement of the abdominal organs to the thorax as a result of the diaphragm defect. It may be congenital or acquired (1). Congenital diaphragm hernia are bochadalec hernia and morgagni hernia .Acquired diaphragmatic hernias can also occur spontaneously or iatrogenically (2). Surgical repair is recommended in its treatment. We aimed to present our experience in congenital diaphragmatic hernia surgery. Material and Method: The files of patients who were operated on for congenital diaphragmatic hernia between January 2011 and December 2020 in our center were retrospectively reviewed. Patients with multiple data deficiencies were excluded from the study. Twelve patients who met the criteria were included in our study. Demographic data, admission complaints, preoperative imaging, defect localization, surgical procedures performed, length of hospital stay, early and late complications, and mortality numbers of these patients were recorded. Results: 7 (58%) of the patients were male and 5 (42%) were female. The average age was 60 (34-84). Diagnoses of all patients were confirmed by computerized tomography.Surgical treatment was applied to all patients. Average length of stay in the hospital was 4 (1-8) days. In the early period, 2 (16%) patients had embolism and 2 (16%) patients had wound problems. 2 (16%) patients were also mortal. Conclusion: Although congenital diaphragmatic hernias are mostly diagnosed in childhood, they can rarely be diagnosed in advanced ages. The treatment is surgical and the success of this treatment is high, morbidity and mortality is low.
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