腹壁疝

Objective To evaluate the role of CT in the diagnosis of abdominal wall hernias.

目的：研究CT检查在腹壁疝诊断中的临床价值。

Repair: hernial sac resection and abdominal wall were sutured with silkthread layer by layer interruptedly,37 cases; 24 patients were running-sutured with "qiangsen" asorbed thread layer by layer; 2 patients whose abdominal defection were repaired with polypropylene melex and another with Dacron patch.

修补方法：疝囊组织切除，腹壁分层丝线间断缝合37例；"强生"可吸收线连续缝合 24例；腹壁缺损用聚丙烯丝网补片修补2例；Dacron修补腹壁缺损1例。

Methods From Sep.2007 to Mar.2006,expanded polytetrafluoroethylene mesh repair was applied in 18 patients with abdominal incisional hernia.

回顾分析2007年9月至2009年3月18例大或巨大腹壁切口疝患者采用腹腔镜手术治疗的临床资料。

Engorged and crowded mesenteric vessels are seen at the hernial orifice, which is adjacent to the abdominal wall.

与腹壁相邻的疝孔处可见肠系膜血管充盈拥挤。

Hernia sac/freeing ------ Search for associated hernias In cases of voluminous direct hernias, a thorough exploration of the groin is necessary to rule out any coexisting intraparietal, low lying Spieling or femoral hernias.

在巨型直疝时，需彻底探查腹股沟区以排除任何合并存在的腹壁间裂隙疝、低位的外侧腹壁疝（Spigelian 疝）或股疝。

Objective To summarize the experience of intraperitoneal repair of the giant abdominal incisional hernia using Composix kugel patch.

目的：总结Composix kugel自膨式补片腹膜腔内修补腹壁巨大切口疝的经验。

Results One case with transverse mesocolon pore hernia, one with obturator hernia and one with paracecal hernia were confirmed by exploratory laparotomy. There were six cases whose hernias resulted from the fall of export jejuna into import jejuna after Billroth II anastomoses in front of colons, five from the pelvic bottoms' peritoneal fissure and four from the fissure appearing between descending colon and lateral abdominal wall after Miles' operation, one from greater omental adhesion to sigmoidal wall after sigmoidostomy, and one from inflammatory adhesion on the basis of Meckel's diverticulum. The other 17 cases' hernias (48.7%) were caused by the fissure among celiac adhesive bands, peritonea, celiac organs, enteric walls and intestines.

结果 剖腹探查手术证实为横结肠系膜裂孔疝1例；闭孔疝1例；盲肠旁疝1例；毕Ⅱ式结肠前吻合术后输出段空肠疝入输入段空肠与横结肠系膜间隙6例；Miles术后盆底腹膜裂开所致内疝5例；Miles术后降结肠与侧腹壁形成的间隙致内疝4例；大网膜与乙状结肠造口肠壁粘连形成内疝1 例；1例在梅克尔憩室基础上发生炎性粘连形成腹内疝；因腹腔粘连带与腹膜、腹腔脏器、肠壁、肠与肠之间的孔隙改变形成内疝17例（48.7%）。

Objective: To evaluate the usefulness of multislice CT examination in the diagnosis of the abdominal wall hernias.

目的：探讨螺旋CT对腹壁疝的诊断价值和临床意义。

Methods: The hernias of abdominal wall of 86 cases were all undergone multislice CT examination and proved by surgeons.

收集被手术证实的腹壁疝86例，术前均进行螺旋CT检查。

The occurrence rates of colostomyrelated complications such as ischemic necrosis dehiscence of stomal mucosa and skin, retraction of stoma, tissue necrosis, parastomal hernia, abodaminal internal hernia, tissue infection, stenosis of stoma, stoma prolapse and tissue edema were 1.0%(3/300), 1.33%(4/300), 1.33%(4/300), 1.67%(5/300), 3.66%(11/300), 4.0%(12/300), 8.0%(24/300), 9.0%(27/300), 10.0%(30/300) and 11.0%(33/300), respectively.

年龄超过60岁的患者造口并发症发生率明显提高，造口缺血与腹壁外段造口肠管的长度、造口开放方式有关，造口狭窄与腹壁切口直径、造口开放方式有关，造口旁疝和脱垂与患者体形有关。

On the other hand, the more important thing is because the urban housing is a kind of heterogeneity products.

另一方面，更重要的是由于城市住房是一种异质性产品。

Climate histogram is the fall that collects place measure calm value, cent serves as cross axle for a few equal interval, the area that the frequency that the value appears according to place is accumulated and becomes will be determined inside each interval, discharge the graph that rise with post, also be called histogram.

气候直方图是将所收集的降水量测定值，分为几个相等的区间作为横轴，并将各区间内所测定值依所出现的次数累积而成的面积，用柱子排起来的图形，也叫做柱状图。