闭孔疝的早期诊治13例分析

目的探讨闭孔疝早期临床诊断的有效方法.方法对2000年至2009年收治的13例闭孔疝的临床资料进行回顾性分析.结果13例闭孔疝均为老年消瘦女性,术前CT检查发现闭孔外肌与耻骨肌间肠管样填充物.入院8h内确诊,及时手术,术中证实右侧闭孔疝11例,左侧2例,所有疝内容物均为肠管,4例已嵌顿坏死.术后均治愈出院,无重大并发症发生.结论闭孔疝多发生于老年消瘦女性,术前CT检查均可明确诊断,早期确诊及手术是提高治愈率的关键.

The Early Diagnosis and Treatment of Obturator Hernia in 13 Cases

Objective Toinvestigate the diagnosis ofobturator hernia.Methods The clinical features of 13 cases with obturator hernia admitted from 2000 to 2009 at Kunming Yan＇an hospital were analyzed retrospectively.Results All cases were old emaciated women.Preoperative CT examination found intestine-like filler between lateral obturator muscle and pectineus muscle.All cases were given admission diagnosis and received operation within 8 hours.Surgery confirmed that 11 cases of obturator hernia were in the right,and other 2 cases were in the left.All contents were intestinal hernia,4 with incarceration and necrosis.All patients were discharged from hospital with no major complications occurred.Conclusion Obturator hernia mostly occurs in the old skinny women.Preoperative CT examination can confirm the diagnosis.Early diagnosis and surgery is the key to improve the rate of cure.