■通过对16例腰疝的回顾性分析,我们讨论了解剖学基础,临床表现,诊断,以及这种罕见疾病的治疗。
我们收集了2008年1月至2021年6月在无锡市第二人民医院普外科治疗的15例原发性腰疝和1例继发性腰疝患者的医疗数据,并分析了他们的人口统计学特征,术前,和术后数据。
■所有患者都接受了由同一治疗团队进行的上腰椎突出症的择期手术。疝缺损的中位面积为12cm2。15名患者接受了皮下修复,还有一个人接受了覆盖修复。中位手术时间和出血量分别为48min和22mL,分别。疝内容物为腹膜外脂肪15例,小肠部分1例。术后第1天的视觉模拟评分中位数为3。术后放置引流管3例,但未使用13例。平均住院时间为5天。术后切口感染1例。在后续期间,无术后并发症,包括血肿,血清肿,切口感染或破裂,复发,和慢性疼痛,发生在其他15例。
■腰疝很少见,可以通过开放式无张力修复安全有效地治疗。
UNASSIGNED: Through a retrospective analysis of 16 cases of lumbar hernia, we discussed the anatomical basis, clinical manifestations, diagnosis, and treatment of this rare condition.
UNASSIGNED: We collected medical data of 15 patients with a primary lumbar hernia and one patient with a secondary lumbar hernia treated in the General Surgery Department of Wuxi No.2 People\'s Hospital between January 2008 and June 2021 and analysed their demographic, preoperative, and postoperative data.
UNASSIGNED: All patients underwent elective surgery performed by the same treatment team for superior lumbar hernias. The median area of the hernia defect was 12 cm2. Fifteen patients underwent sublay repair, and one underwent onlay repair. The median operative time and blood loss were 48 min and 22 mL, respectively. The hernia contents were extraperitoneal fat in 15 patients and partial small intestine in one. The median visual analogue scale score on postoperative day 1 was 3. A postoperative drainage tube was placed in three cases but not used in 13. The median duration of hospital stay was 5 days. Postoperative incision infection occurred in one case. During the follow-up period, no postoperative complications, including haematoma, seroma, incision infection or rupture, recurrence, and chronic pain, occurred in the other 15 cases.
UNASSIGNED: Lumbar hernias are rare and can be safely and effectively treated by open tension-free repair.