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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (04) : 300 -302. doi: 10.3877/cma.j.issn.1674-392X.2018.04.017

所属专题： 文献；

短篇论著

闭孔疝的临床诊断与外科治疗
张杰1, 张培建1, 胥广才1, 陶立德1, 姚洁1, 刘歆农1,†()   
  1. 1. 225012　江苏省，扬州大学附属医院普通外科
  • 收稿日期:2017-12-04 出版日期:2018-08-18
  • 通信作者: 刘歆农
  • 基金资助:
    江苏省扬州市自然科学基金面上资助项目(YZ2014064)

Clinical diagnosis and surgical treatment of obturator hernia

Jie Zhang1, Peijian Zhang1, Guangcai Xu1, Lide Tao1, Jie Yao1, Xinnong Liu1,†()   

  1. 1. Department of General Surgery, Affiliated hospital of Yangzhou University, Yangzhou 225012, China
  • Received:2017-12-04 Published:2018-08-18
  • Corresponding author: Xinnong Liu
  • About author:
    Corresponding author: Liu Xinnong, Email:
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引用本文：

张杰, 张培建, 胥广才, 陶立德, 姚洁, 刘歆农. 闭孔疝的临床诊断与外科治疗[J]. 中华疝和腹壁外科杂志(电子版), 2018, 12(04): 300-302.

Jie Zhang, Peijian Zhang, Guangcai Xu, Lide Tao, Jie Yao, Xinnong Liu. Clinical diagnosis and surgical treatment of obturator hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(04): 300-302.

目的

探讨闭孔疝的临床特点、诊断方法及外科治疗经验。

方法

回顾性分析2014年1月至2017年8月，扬州大学附属医院收治的6例闭孔疝患者的临床资料，分析病例特点。

结果

6例患者均痊愈出院。平均手术时间（77.5±29.2）min，术中平均出血量（42.5±30.9）ml，平均住院时间（11.5±2.4）d。1例术后切口脂肪液化，1例术后出现肺部感染，对症处理后均愈合。

结论

闭孔疝是临床少见疾病，临床误诊、漏诊率极高，CT检查可早期明确诊断。

关键词: 闭孔疝, 疝修补术, 诊断, 外科治疗
Objective

To investigate the clinical characteristics, diagnostic methods and surgical treatment of obturator hernia.

Methods

A retrospective analysis was conducted on six patients with obturator hernia who were admitted to the affiliated hospital of Yangzhou University from January 2014 to August 2017.

Results

Five patients were admitted due to acute abdominal pain, one patient was admitted due to the pain of right thigh root. The six patients were diagnosed by abdominal CT scan, and the obturator hernia diagnosis was clear. All of the patients underwent emergency operation. The average operation time was (77.5±29.2) minutes, the mean intraoperative blood loss was (42.5±30.9) ml, and the average hospital stay was (11.5±2.4) days. 1 case of postoperative incision fat liquefaction and 1 case of postoperative pulmonary infection were occurred. All the patients showed a successful recovery.

Conclusion

Obturator hernia is a rare disease, and the misdiagnosis rate is very high. It can be early diagnosed by CT scan, operation is the only effective treatment, and early operation can reduce the morbidity and mortality of patients.

Key words: Obturator hernia, Herniorrhaphy, Diagnosis, Surgical treatment
图2 嵌顿肠管（箭头所指）
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