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腰疝10例诊治分析

Diagnosis and treatment of lumbar hernia: a report of 10 cases
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摘要 目的探讨腰疝的临床表现、诊断和治疗方法。方法对1999年10月~2008年10月间收治的有完整资料的10例腰疝病例进行回顾性分析。结果临床表现为腰背部可复性肿块、腰背部疼痛不适、恶心、呕吐,由上腰三角突出9例,由下腰三角突出1例。10例均经多普勒超声协助诊断。10例均行手术治疗,3例利用自身组织缝合修补,7例使用人工补片修补。结论临床表现和体征是诊断腰疝的关键,彩色多普勒超声是腰疝首选的辅助诊断方法,外科手术是治疗腰疝的有效手段。 Objective To study the clinical manifestation, diagnosis and treatment of lumbar hernia. Methods Data of 10 patients of lumbar hernia from Oct. 1999 to Oct. 2008 were analyzed retrospectively.Results The clinical manifestation of lumbar hernia included lumbarbump, lumbarpain, nausea and vomiting. Nine cases had hernia in superior lumbar triangle; one case had hernia in inferior lumbar triangle. Ten cases were detected by color doppler ultrasonography. Hernioplasty included by using contiguity tissue and synthetic patch were performed in all the 10 cases. Conclusions The diagnosis could be made according to clinical symptoms and signs. Color doppler uhrasonography has upper merit to the diagnosis of lumbar hernia. Excision of the sac and repairing with surrounding tissue or by prosthetic material may show satisfactorv results.
出处 《国际外科学杂志》 2009年第10期676-678,共3页 International Journal of Surgery
关键词 腰疝 诊断 治疗 lumbar hernia diagnosis treatment
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