创伤性膈疝的外科治疗

目的探讨创伤性膈肌破裂的诊断和治疗方法。方法对我科自2006年1月至2012年6月共收治的创伤性膈肌破裂16例患者临床资料进行分析。结果全组术前漏诊、误诊6例,误诊率37.5%,死亡1例,死亡率6.25%,痊愈15例,治愈率93.7%。结论创伤性膈疝是一种少见,易被延误诊断的疾病,应提高认识及时全面的探查可降低误诊率,通过膈肌修补治疗,大多数创伤性膈疝可以治愈。

Objective Traumatic diaphragmatic rupture diagnosis and treatment method.Methods For I from 2006 January to 2012 June were traumatic diaphragmatic rupture in 16 cases of patients with clinical data analysis.Results All patients before operation,6 cases of misdiagnosis of missed diagnosis,misdiagnosis rate was 37.5%,1 cases of death,mortality is 6.25%,15 cases were cured,the cure rate was 93.7%.Conclusion Traumatic diaphragmatic hernia is a rare,easily delay the diagnosis of the disease,Should raise the awareness of timely and comprehensive exploration can reduce the misdiagnosis rate Through the diaphragmatic repair in treatment of traumatic diaphragmatic hernia,most can be cured.