摘要
目的 探讨嵌顿性腹股沟疝时合并完全性肠梗阻的临床特点.方法 回顾性分析2006年1月至2015年3月间159例嵌顿性腹股沟疝病人,分析全组病例的年龄、性别、严重基础疾病情况、确诊情况、肠梗阻时间、疝类型、手术方式、术后并发症发生率、死亡率等指标.结果 全组中,有斜疝115例、直疝3例、股疝41例;13.8％（22/159）合并完全性肠梗阻;其中,54.5％（12/22）的病人超过12h诊断为嵌顿性腹股沟疝导致的肠梗阻（A组）,另45.5％（10/22）的病人12 h内得到及时诊断（B组）;两组间在年龄、严重基础疾病、肠管切除率、同期无张力疝修补术率、术后并发症发生率等方面差异均有统计学意义（P＜0.05）,B组预后更佳.结论 详细的问诊、细致的体检以早期确诊是改善嵌顿性腹股沟疝时肠梗阻预后的最简单、有效方法.
Objective To investigate the clinical characteristics of incarcerated indirect inguinal hernia combined with intestinal obstruction. Methods The clinical data of 159 cases of incarcerated in- guinal hernia from Jan. 2006 to Mar. 2015 were reviewed. The time of intestinal obstruction, year, sex, diagnosis, type of hernia, operation, morbidities, and mortality were investigated. Results In all the 159 patients, the rate of intestinal obstruction was 13.8% （22/159）. There were 115 cases of indi- rect inguinal hernia, 3 cases of direct inguinal hemia and 41 cases of femoral hernia 54. 5% （12/22） patients （group A） were diagnosed over 12 h, and 45.5 % （10/22） patients （group B） were diagnosed in 12 h. Between groups A and B, the time of intestinal obstruction, year, the rate of intestinal resection and one-stage tension-free repair of inguinal hernia, and morbidities showed significant difference （P〈 0. 05）. Conclusions inquiry and were simple and effective methods to improve diagnosis and prognosis of patients with incarcerated inguinal hernia combined with intestinal obstruction.
出处
《腹部外科》
2015年第3期168-170,共3页
Journal of Abdominal Surgery
关键词
肠梗阻
疝
诊断
Intestinal obstruction
Hernia
Diagnosis
