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Diagnosis and treatment of paraduodenal hernia: a report of 16 cases
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1671-0274.2005.06.006
- Key Word:
- 十二指肠旁疝;诊断;外科手术
Abstract： 目的总结十二指肠旁疝( PDH)的诊治经验.方法回顾分析 1962- 2003年间经外科手术治疗的 16例 PDH患者的临床资料.结果本组患者平均年龄 36岁.左侧 PDH( Landzert隐窝) 13例,右侧 PDH( Waldeyer隐窝) 3例. 10例患者平时无任何临床症状;3例患者在饱食后、 13例患者在剧烈运动或突然改变体位后出现上腹剧烈疼痛.腹部 X线检查提示 12例为完全或不完全性肠梗阻. B型超声及 CT显示, 6例左上腹胰腺和胃之间有扩张的囊性空肠袢.术前误诊率 87.5%. 16例均行手术治疗,术后 10- 13 d痊愈.经 2- 4年随访,均无疝复发.结论 PDH误诊率高,积极手术探查是正确诊断和治疗成功的关键.
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