四川医学2024，Vol.45Issue(3)：229-233,5.DOI:10.16252/j.cnki.issn1004-0501-2024.03.002
腹腔镜穿刺孔疝11例临床分析
Clinical Analysis of 11 Cases of Laparoscopic Port-Site Hernia
摘要
Abstract
Objective To summarize the risk factors,clinical characteristics and treatment of laparoscopic port-site hernia(PSH).Methods The clinical data of 11 cases of PSH from January 2015 to December 2022 were retrospectively analyzed and the related literature at domestic and abroad were summarized.Results The location was periumbilical in 7 cases,lateral abdominal wall in 4 cases,puncture hole diameter≥10 mm.The median time of symptoms was 7 days,The main symptoms were nausea and vom-iting(8/11)and abdominal pain(10/11).There were mass at the puncture hole,and 7 cases were accompanied by tenderness.Ima-ging examination showed PSH,averagehernia ring area was 2.1 cm2(range 1～5 cm2).10 cases of early type underwent operation,7 cases of hernia contents were found in small intestine(4 cases of them were ischemic necrosis),3 cases of greater omentum(ischemic necrosis).They were followed up for 5～73 months and healed well.One case of delayed type underwent conservative treatment,and was followed up for 35 months and recurred twice.Conclusion The occurrence of PSH is related to the location and diameter of the puncture hole.The main symptoms are abdominal pain,nausea andvomiting.The signs are mass at the puncture hole,which can be ac-companied by tenderness.Severe cases are complicated with hernia necrosis.Diagnosis should be combined with surgical history,symptoms and signs and imaging examination.The treatment method is mainly surgical repair,and the prognosis is good.关键词
腹腔镜/穿刺孔疝/临床特点/治疗方法/预防措施Key words
laparoscopy/port-site hernia/clinical features/treatment method/preventive measures分类
医药卫生引用本文复制引用
罗勇,田莉,邓玉艳,王鑫灵,李俊强,马多娜..腹腔镜穿刺孔疝11例临床分析[J].四川医学,2024,45(3):229-233,5.基金项目
国家重点研发计划项目(编号:2017YFC0113905) （编号:2017YFC0113905）
