带状疱疹后假性腹壁疝二例并文献复习

Postherpetic pseudohernia: two cases report and literature review

带状疱疹后假性腹壁疝是带状疱疹发生的一种罕见的与腹壁疝相似的神经系统并发症,所引起的腹壁隆起性肿物实际上是病毒引起节段性腹肌瘫痪或无力的结果,大多数可完全恢复,预后良好。本文报道2例带状疱疹后假性腹壁疝并对10年国内外文献报道病例进行分析。共分析27例患者,平均年龄68.2岁,63.0%为男性,常受累的神经是T11(31.4%)。25例腹壁假疝发生在皮肤症状之后,平均时间为23天。行肌电图检查3例,异常2例;影像学检查15例,其中异常5例。27例中,14例(51.9%)腹壁假疝完全自然康复,平均时间为3.4个月(范围1~8个月);3例(11.1%)部分恢复,平均随访时间2.3个月。7例患者恢复时间不详,1例失访。

Postherpetic pseudohernia is a rare neurological complication in patients with herpes zoster,with clinical manifestations similar to abdominal wall hernia.The protuberant mass of abdominal wall caused by pseudohernia of abdominal wall is actually the result of segmental paralysis or weakness of abdominal muscle caused by virus.Most patients can recover completely and have a good prognosis.Two cases of postherpetic pseudohernia were reported and the cases reported in domestic and foreign literature for ten years were analyzed.Twenty seven patients were analyzed,the average age was 68.2 years old,63.0%were male.The most frequently involved is T11(31.4%).Of 27 cases,the abdominal pseudohernia occurred after skin symptoms in 25 cases,with an average of 23 days.The electromyography examination was performed in 3 cases and two cases were abnormal,the imaging examination was performed in 15 cases and 5 were abnormal.Fourteen cases(51.9%)had complete self-cured,with an average time of 3.4 months(range from 1 to 8 months),and three(11.1%)had partial recovery,with an average follow-up time of 2.3 months.The recovery time of seven patients was unknown and one lost follow-up.