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食管癌贲门癌切除术后膈疝较为少见,不典型者极易误诊。我院近15年来共诊治20例,其中8例X线误诊,现就误诊情况分析如下: 1 临床资料 1.1 一般资料:本组误诊的8例中,男6例,女2例,年龄45～58岁。因食管癌贲门癌行食管胃弓上吻合术6例,膈上吻合术2例,术后发生膈疝的时间1个月～10年不等。 1.2 临床表现:阵发性腹痛8例,腹胀5例,呕吐2例,肛门停止排气排便4例,胸闷、气急2例。体检:左肺呼吸音降低3例,以及腹部肠鸣音亢进、叩诊呈鼓音等。
Esophageal and cardiac resection of cardiac diaphragm hernia is rare, atypical cases easily misdiagnosed. Our hospital in the past 15 years, a total of 20 cases were diagnosed and treated, including 8 cases of X-ray misdiagnosis, now on the misdiagnosis as follows: 1 Clinical data 1.1 General information: This group of misdiagnosed 8 cases, 6 males and 2 females, aged 45 ~ 58 years old. Esophageal and gastric cardia due to esophageal and gastric bowel anastomosis in 6 cases, 2 cases of diaphragm anastomosis, diaphragmatic hernia occurred after 1 month to 10 years. 1.2 Clinical manifestations: paroxysmal abdominal pain in 8 cases, abdominal distension in 5 cases, vomiting in 2 cases, anus to stop the exhaust defecation in 4 cases, chest tightness, shortness of breath in 2 cases. Physical examination: left lung breath sounds decreased in 3 cases, as well as abdominal bowel sounds hyperthyroidism, percussion drum sounds.