DIAGNOSIS AND TREATMENT OF PARADUODENAL HERNIA:PEPORT OF 12 CASES

Qiling Huang
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Abstract

Objective:Approach the cause,development and treatment of paraduodenal hernia and to improve the standard of diagnosis and treatment for paraduodenal hernia.Method:Analyse 12 cases of paraduodenal hernia treated from 1982 to 1998.Find out its pattern of development and the method of treatment.Result:Complete intestinal obstructions are found in operations for emergency treatment for 10 cases of paraduodenal hernia.Uncomplete intestinal obstructions are found in defer examinations of 2 cases of paraduodenal hernia.Forward curative effect 4 cases of complicated adhesive intestinal obstructions are related to critical condition before operations.Conclusion:Paraduodenal hernia is difficult to diagnose before operation.Once it is doubted,earliest exploratory laparotomy is needed for examination so that the curative effects can be improved.
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12例十二指肠旁疝的诊断与治疗
目的:探讨十二指肠旁疝的病因、发展及治疗方法,提高对十二指肠旁疝的诊治水平。方法:对1982 ~ 1998年收治的12例十二指肠旁疝进行分析。找出其发展规律及治疗方法。结果:10例十二指肠旁疝急诊手术均发现完全肠梗阻。对2例十二指肠旁疝进行延期检查,发现不完全肠梗阻。远期疗效4例复杂粘连性肠梗阻与术前危重有关。结论:十二指肠旁疝术前诊断困难。一旦怀疑,应尽早开腹探查,以提高疗效。
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期刊介绍: Chinese Journal of Postgraduates of Medicine (founded in 1978, monthly) is one of the series of journals of the Chinese Medical Association (CMA) under the supervision of the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association (CMA) and Dalian Institute of Theoretical Medicine (DITM). It is a core journal of Chinese science and technology, a statistical source journal of Chinese scientific and technical papers, and a statistical source journal of China Academic Journal Impact Factor Annual Report. The journal adheres to the purpose of using continuing medical education and post training, highlights new theories, new knowledge, new methods and new technologies, and focuses on the combination of theory and practice, and the combination of popularisation and improvement. Main columns: Special tutorials, expert forums, clinical treatises, clinical experience, reviews and lectures, continuing medical education, teaching and research, advanced training forum, drugs and clinics, overview of progress, introduction of new technologies, imaging and clinics, lessons learnt, discussions and evaluations, case reports, discussions of clinical cases, conference proceedings, and domestic and international academic developments. The main target readers are clinical medical personnel in internal medicine, surgery, gynaecology, paediatrics and ophthalmology.
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