阳性隔膜 - 一种严重的延迟并发症:三例病例报告和文献综述
Chengfeng Jin1, Xiaohui Yang2, Tiemei Han1
1Department of Gastroenterology, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
Medicine
|November 8, 2025
概括
创性隔膜 (IDH) 是胸部和腹部手术后的一种罕见但严重的并发症. 早期诊断和治疗对于管理这种情况和预防严重后果至关重要.
科学领域:
- 医学科学 医学科学 医学科学
- 手术并发症 手术并发症
- 诊断成像 诊断成像 诊断成像
背景情况:
- 创性隔膜 (IDH) 是胸部和腹部手术的罕见但显著的并发症.
- 由于越来越多的侵入性手术,其发病率正在上升.
- IDH可以很容易被忽视,导致严重的后果.
研究的目的:
- 报告发生在不同手术干预后的三种不同病例的阳性隔膜 (IDH).
- 突出IDH的诊断挑战和各种管理策略.
- 强调识别和预防IDH的重要性.
主要方法:
- 案例1:IDH发生在左上叶切除术4个月后,由于胃管放置不当而导致胃穿孔复杂.
- 案例2:IDH在胃瘤的内镜全厚切除后10年呈现,可能是由于手术期间腹膜损伤.
- 案例3:IDH发生在9个月后的无线电频率切除肝癌,涉及腹膜透.
主要成果:
- 诊断是通过成像技术的组合实现的,包括CT扫描,胃镜和上部胃肠道放射.
- 在两个患者中,手术修复成功,在随访期间没有复发.
- 一名患者因年龄和适应症状而选择保守的治疗.
结论:
- 在有相关症状的患者和在成像上单边腹膜升高的患者中,对IDH的高度怀疑是合理的.
- 早期诊断和及时治疗对于有利的结果至关重要.
- 在危险的外科手术过程中,特别是肝脏手术时,建议仔细保护隔膜,以防止IDH.
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