腰骶部筋膜脂肪疝
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作者Author单位AddressE-Mail
杨占辉 YANG Zhan hui 沈铁吉林中心医院,吉林吉林132001 Jilin Central Hospital o f Shenyang Railway Bureau Jilin,Jilin,1 32001  
孙建华 SUN Jian hua 沈铁吉林中心医院,吉林吉林132001 Jilin Central Hospital o f Shenyang Railway Bureau Jilin,Jilin,1 32001  
丁浩 DING Hao 厦门市第二医院,福建厦门  
乔金环 沈铁吉林中心医院,吉林吉林132001 Jilin Central Hospital o f Shenyang Railway Bureau Jilin,Jilin,1 32001  
期刊信息:《中国骨伤》2001年,第14卷,第3期,第136-138页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的;正确认识腰骶部筋膜脂肪疝,提出临床区域分型和术中分型,并探讨治疗方法。

方法;对139例腰骶部筋膜脂肪疝患者进行手术治疗,术中详细观察脂肪疝疝出部位及病变情况。

结果;用自行拟定的疗效评定标准评定,术后优良率达89%.

结论;腰骶部筋膜脂肪疝是腰骶部筋膜下脂肪组织通过深浅筋膜破裂口或裂隙孔疝出,直接卡压或机化后形成粘连带压迫局部周围组织或皮神经所产生的一系列腰腿痛症状和体征。
【关键词】脂肪切除术    分类法
 
Lumbosacral lipocele
ABSTRACT  

Objective;To study the clinical typing of lumbarsa cral lipocele and to discuss its surgica l treatment.

Methods;139 patients with lipocele in fassia of lumbosacral region were treated surgical ly.The herniation area and pathological changes of lipoceles were carefully obse rved during the operation.

Results;The postoperative results revealed excel lent and good rates in 89%.

Conclusion;The mechanism of this disease is apparan tly due to the prominent adipose tissues under the lumbosacral fascia projecting through the split or hiatus of the deep and superficial fassia resulting in com pression of the cutaneous nerves locally,or the adipose tissues organizes and fo rms adhesion causing compression of the local tissues and cutaneous nerves.Lumba r and leg pains are the main symptoms.Ac cording to prominent locations,the disea se can be classified as iliac lumbar type and sacro iliac type;and the intraoperat ive findings showed the conditions of th e simple and adhesive varieties.Early op eration is the effective treatment metho d for this condition.
KEY WORDS  Lipectomy  Hernia  Classification
 
引用本文,请按以下格式著录参考文献:
中文格式:杨占辉,孙建华,丁浩,乔金环.腰骶部筋膜脂肪疝[J].中国骨伤,2001,14(3):136~138
英文格式:YANG Zhan hui,SUN Jian hua,DING Hao.Lumbosacral lipocele[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(3):136~138
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