创伤性膈疝的诊断与治疗(附34例分析)

Diagnosis and Treatment of Traumatic Diaphragmatic Hernia(a Report of 34 cases)

目的分析创伤性膈疝的发病因素,讨论其早期诊断及治疗的方法。方法回顾性总结分析34例创伤性膈疝病例资料。结果本组病例术前确诊26例(76.5%),漏诊6例(17.6%),剖腹探查术中漏诊2例(5.9%)。33例(97.1%)治愈,1例(2.9%)死亡。结论创伤性膈疝早期易误诊、漏诊。早期诊断、选择适当的手术时机及手术方式、重视全身整体治疗是提高治愈率的关键。

Objective To study the early diagnosis and treatment of traumatic diaphragmatic hernia(TDH), and analyse its etiological factor.Methods Retrospective analysis of the clinical data of 34cases of TDH was made. Results 25 cases(73.5%)were preoperatively diagnosed, 7 cases(20.5%)misdiagnosed, 1 case(5.9%)was misdiagnosed during exploration laparotomy. 33 cases(97.1%)werecured and 1 case(2.9%)died. Conclusions Misdiagnosis and missed diagnosis are quite frequentlyin the early phase of TDH. Early diagnosis, choosing the suitable operation time and method, timely andcorrect treatment of associated injury are all important factors to improve the cure rate .