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目的探讨创伤性膈疝的诊断、治疗。方法回顾性分析2005年3月—2010年9月手术治疗创伤性膈疝10例。术前明确诊断者9例,其中3例X-线胸片确诊,6例胸部CT检查确诊,剖胸探查1例。单纯经胸入路手术8例,胸腹联合入路2例。合并脏器损伤行修补术6例,行疝入脏器还纳、膈肌修补4例。结果 10例患者手术顺利,无临床死亡,术后均痊愈出院。结论创伤性膈疝的早期诊断十分重要,尽早明确诊断、及时手术是提高治愈率、减少死亡的重要措施。
Objective To investigate the diagnosis and treatment of traumatic diaphragmatic hernia. Methods A retrospective analysis of 10 cases of traumatic diaphragmatic hernia was performed from March 2005 to September 2010. Nine patients had a definite diagnosis before surgery, of which 3 were diagnosed by X-ray, 6 were diagnosed by chest CT, and 1 was diagnosed by thoracotomy. Simple transthoracic surgery in 8 cases, thoracoabdominal approach in 2 cases. Combined organ injury line repair in 6 cases, line herniated organ also satisfied, diaphragm repair in 4 cases. Results All the 10 patients were successfully operated without any clinical death and were discharged after surgery. Conclusion Early diagnosis of traumatic diaphragmatic hernia is very important. As soon as possible, a clear diagnosis and timely operation are important measures to improve the cure rate and reduce death.