小结
定义
脐疝是脐环未能闭合时发生的一种前腹壁筋膜缺陷。缺陷造成皮肤覆盖住的腹膜囊突出，并可能包含网膜或肠等腹腔内容物。[Figure caption and citation for the preceding image starts]: 大型脐疝Charles L. Snyder 医学博士的个人收藏；经许可使用 [Citation ends].
病史和体格检查
关键诊断因素
- 存在的危险因素
- 自出生以来出现
- 脐凸起
- 活动时大小/张力发生改变
- 皮肤改变
- 易复位的疝囊
- 筋膜边缘边界处清楚，带有中心缺损
- 缺损直径可变
- 小肠梗阻症状
其他诊断因素
- 间歇性不适
危险因素
- 低出生体重
- 非洲人/非洲裔美国人血统
- Beckwith-Wiedemann 综合征 (BWS)
- 21-三体、18-三体、13-三体
- 先天性甲状腺功能减退症
- 粘多糖病
诊断性检查
首要检查
- 为临床诊断
治疗流程
嵌顿性疝
大型或有症状的疝
小型无症状性疝
撰稿人
作者
Charles L. Snyder, MD
Professor of Surgery
Chief, Section of Surgery
University of Missouri-Kansas City
Children's Mercy Hospital
Kansas City
MO
USA
利益声明
CLS declares that he has no competing interests.
Charles M. Leys, MD, MSCI
Associate Professor of Surgery
University of Wisconsin School of Medicine and Public Health
American Family Children's Hospital
Madison
WI
USA
利益声明
CML declares that he has no competing interests.
同行评议者
Michael A. Skinner, MD
Professor and Vice Chairman
Pediatric Surgery
University of Texas Southwestern Medical Center
Dallas
TX
USA
利益声明
MAS declares that he has no competing interests.
Bangalore S. Ramanand, MS, DNB, FRCS, MSC
Locum Consultant Surgeon
Glan Clwyd Hospital
Rhyl
UK
利益声明
BSR declares that he has no competing interests.
LS Wong, MB ChB
Consultant Surgeon
Honorary Associate
Professor of Surgery
University Hospitals Coventry
UK
利益声明
LSW declares that he has no competing interests.
Emmanuel Atta Agaba, MD, FRCS, FACS
Fellow in Minimally Invasive Surgery
Montefiore Medical Center at Albert Einstein College of Medicine
Bronx, New York City
NY
USA
利益声明
EAA declares that he has no competing interests.
鉴别诊断
- 上腹疝
- 脐带疝
- 脐膨出
更多 鉴别诊断
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明