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多孔隔膜综合征:文学综述
Mohsin Y Murshid1, Anfal Nawawi2, Hamdan S AlAmri3
1General Surgery, Hera General Hospital, Makkah, SAU.
Cureus
|August 4, 2025
概括
孔隙隔膜综合征 (PDS) 涉及腹部内容通过隔膜缺陷进入胸部,通常会导致复发的多叶膜溢出. 早期诊断和手术修复,特别是通过视频辅助胸腔镜手术 (VATS),改善了结果.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
背景情况:
- 多孔隔膜综合征 (PDS) 是一种罕见的疾病,腹部内容通过隔膜缺陷迁移到胸腔.
- 它经常被错误诊断,导致治疗延迟,患者的治疗结果低于最佳.
- PDS通常与肝脏水胸,腹膜透析和腹膜癌症有关.
研究的目的:
- 在过去的25年中,审查阴孔隔膜综合征的临床表现,诊断方法,手术管理和结果.
- 强调PDS早期识别和适当干预的重要性.
- 综合目前关于PDS诊断和治疗的证据.
主要方法:
- 对PubMed,Scopus和Web of Science数据库的系统文献审查.
- 对专注于PDS临床表现,诊断方式和治疗干预措施的研究进行分析.
- 综合关于手术管理的数据,特别是视频辅助胸腔镜手术 (VATS) 和长期结果.
主要成果:
- 在患有肝硬化或需要腹腔透析的末期病患者中,PDS通常呈现为复发的右侧流.
- 诊断工具包括肺部液体分析,CT腹膜造影和腹膜剪切造影.
- 视频辅助胸腔镜手术 (VATS) 是最终的治疗方法,提供高成功率和低复发率.
结论:
- 穿孔性隔膜综合征需要在患有不明原因的复发性多叶膜溢出和腹内病理的患者中考虑.
- 及时诊断和多学科管理,包括胸腔镜修复,对于有效的治疗至关重要.
- 手术纠正可以促进腹膜透析的恢复,并改善患者的整体预后.
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