WANG Chen,HUANG Hanzhang,DU Zhou, et al. Clinical analysis of lumbar hernia in 29 cases[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2018, 48(9): 691-693.
Abstract：Objective: To study the clinical manifestation, diagnosis and treatment of lumbar hernia. Methods: The clinical data of 29 patients with lumbar hernia who were admitted to the First Affiliated Hospital of Wenzhou Medical University from January 1990 to December 2017 were analyzed retrospectively. Results: Among 13 males and 16 females, there wer 18 left, 10 right and 1 bilateral hernias. Reversible hernias were in 28 cases and incarcerated hernia in 1 cases. There were 27 lumbar hernias protruded from the upper lumbar triangle (Grynfelt’s triangle), 2 cases from the lower lumbar triangle (Petit’s triangle). The most common clinical manifestations were reversible mass of the back, which was observed in 28 cases, and 21 cases were associated with back pain, while 2 cases associated with incomplete intestinal obstruction such as abdominal distension, abdominal pain, nausea and vomiting. The correct rate of preoperative ultrasound diagnosis was 79.3% (23/29 cases), and the correct rate of CT scanning diagnosis before operation was 86.2% (25/29 cases). In this group, 4 cases were treated conservatively and 25 cases were treated surgically. The surgical procedures included simple suture in 1 case, mesh repair in 23 cases, and laparoscopic mash repair in 1 case. All the 25 patients well recovered after operation, with their clinical symptoms disappeared. During the follow-up period, 1 case recurred 2 months after operation, and was cured by mesh repair operation again. Conclusion: The diagnosis of lumbar hernia is based on its clinical manifestations, B ultrasound and CT findings, and the first choice of treatment is tension-free repair with mesh.
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