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Hernia


什么是疝?

疝,俗称疝气,是指组织器官通过先天或后天形成的缺损或薄弱区域从其正常的部位移位到其他部位。
 

关于疝

 

疝类型

疝类型
 

食道裂孔疝

部分腹腔脏器通过食道裂孔进入膈以上,就形成所谓食道裂孔疝。50 岁以上患者常见。食道裂孔疝常伴有胃食管反流性疾病,当胃内容物反流进入食道,可能会引起烧心感。3

腹疝

腹疝是腹腔内器官通过先天或后天形成的薄弱或缺损区域向外凸出所致。4

脐疝 — 脐疝是发生在脐周的腹疝。5

切口疝 — 切口疝也是一种腹疝,通常发生于此前手术的切口或疤痕处。6

腹股沟疝

发生在腹股沟区的疝,是最常见的腹外疝类型。有两种类型 —— 直疝和斜疝。

股疝

股疝发生在大腿根部靠近腹股沟的区域。内脏可能会通过股管凸出到卵圆窝。女性更常见。8

 


参考文献:

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  2. Chan Y, Durbin-Johnson B, Kurzrock EA. Pediatric inguinal and scrotal surgery – Practice patterns in in U.S. academic centers.J Pediatr Surg. 2016 Nov;51(11):1786-1790.
  3. Kahrilas PJ, Kim HC, Pandolfino JC. Approaches to the diagnosis and grading of hiatal hernia.Best Practice & Research Clinical Gastroenterology. Volume 22, Issue 4, August 2008, pp 601–616.
  4. Lomanto D,  Shabbir IA, Cheah WK. Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surgical Endoscopy and Other Interventional Techniques. July 2006, Volume 20, Issue 7, pp 1030–1035.
  5. Pediatric Umbilical Hernia Repair.  American College of Surgeons Division of Education. Reviewed April 2013.
  6. Mudge M, Hughes LE. Incisional hernia: A 10 year prospective study of incidence and attitudes. British Journal of Surgery.  January 1985, Volume 72, Issue 1.
  7. Inguinal hernia repair: MedlinePlus Medical Encyclopedia. (n.d.). Retrieved November 09, 2016, from https://medlineplus.gov/ency/article/007406.htm
  8. Kovachev, L.S. (2014) The Femoral Hernia: Some Necessary Additions. International Journal of Clinical Medicine, 5, 752-765.
  9. Pluta RM, Burke AE, Golub RM. Abdominal Hernia. JAMA. 2011;305(20):2130.
  10. Jones D. Anatomy and pathophysiology of hernias. In: Fischer J, ed. Hernia: Master of techniques in surgery. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:1-6.
  11. Incarcerated and Strangulated Hernias in Children. A Statistical Study of High-Risk Factors Arch Surg. 1970;101(2):136-139.
  12. Fitzgibbons Jr RB, Ramanan B, Arya S. Long-term results of a randomized controlled trial of a non-operative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias. Annals of Surgery. Volume 258(3), September 2013, pp 508–515.
  13. de Sá Ribeiro, F.A., de Araujo Fernandes, B. and de Araujo Simões Corrêa, J.P. (2014) Inguinal Hernia Repair with Local Anesthesia in the Outpatient—10 Year Experience. International Journal of Clinical Medicine, 5, 644-649.
  14. Nawaz T, Ayub MW, Murad F, Ali Q, Khan A, Anwar I. Comparison of laparoscopic total extra peritoneal (TEP) techniques versus transabdominal preperitoneal (TAPP) technique for inguinal hernia repair 2005, Issue 1. Journal of Rawalpindi Medical College (JRMC); 2015;19(3):220-222.
  15. Tran H. Safety and efficacy of single incision laparoscopic surgery for total extraperitoneal inguinal hernia repair.  Journal of the Society of Laparoendoscopic Surgeons. 2011;15(1), pp 47-52.
  16. Arcerito M, Changchien E, Bernal O,Konkoly-Thege A, Moon J. Robotic inguinal hernia repair: technique and early experience. Am Surg. 2016 Oct;82(10), pp 1014-1017.