腰上莫名鼓包 当心是罕见腰疝|欧美三级欧美成人高清
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近日,南京江北医院普外科凭借精湛医术接连闯关,圆满完成医院首例、第二例腹腔镜下腰疝无张力修补术。43岁的时女士(化姓)怎么也没想到,自己腰上那个“时隐时现”的包块,竟是临床罕见的腰疝。而她也成为南京江北医院首例腹腔镜下腰疝无张力修补术的受益者。
时女士曾有肾上腺手术史,4周前在南京某医院复查时,腹部CT报告中“右侧后腰部脂肪疝”的字样,并未引起她过多重视。毕竟包块不痛不痒,看似对生活毫无影响。可未曾想,短短几周内,这个“沉默的包块”竟不断“长大”:弯腰提物时鼓胀突出,平卧休息时才缓缓回纳,日渐明显的异常让时女士忧心不已,最终选择前往医院寻求专业诊疗。
接诊后,南京江北医院普外科团队通过细致查体与全面评估,明确时女士为“腰疝”患者。考虑到她有肾上腺手术史,腹壁结构存在特殊性,且腰疝本身罕见、手术精准度要求极高。国内著名微创外科专家、医院院长嵇振岭教授亲自挂帅,带领团队反复研讨病情、推演手术路径,为其量身定制了个性化治疗方案。最终,在团队的默契配合下,医院首例腹腔镜下腰疝无张力修补术顺利实施。
相较于时女士,68岁的卓奶奶面临的挑战更为艰巨。4个月前,她偶然发现左侧腰上冒出一个鸡蛋大小的包块,虽无疼痛感,但“凭空出现”的异物始终让她心神不宁。更棘手的是,卓奶奶体质欠佳。在医院的努力下,卓奶奶最终完成医院第二例腹腔镜下腰疝无张力修补术。
专家提醒,腰疝是腹腔内组织或器官经腰部腹壁薄弱区域突出形成的疝,常被误认为是肥胖赘肉、脂肪瘤或肌肉结节。其典型特征是腰部出现“可复性包块”,用力、咳嗽、弯腰时突出,平卧后自行回纳,初期多无明显疼痛,极易被患者忽视。但随着包块增大,可能引发腹胀、隐痛,严重时甚至发生疝内容物嵌顿,导致组织坏死,一旦发现腰部异常包块,务必及时就医排查。
通讯员 肖雪
扬子晚报/紫牛新闻记者 吕彦霖
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