切换至 "中华医学电子期刊资源库"
高级检索
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:
全文 ( ) 下载PDF ( ) 导出引用
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/OL]. 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/OL]. 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）
[1]
Nasir BS, Zendejas B, Ali SM, et al. Obturator hernia: the Mayo Clinic experience[J]. Hernia, 2012, 16(3): 315-319.
[2]
Karasaki T, Nakagawa T, Tanaka N. Obturator hernia of the fallopian tube[J]. Abdom Imaging, 2013, 38(3): 619-621.
[3]
Rodríguez-Hermosa JI, Codina-Cazador A, Maroto-Genover A. Obturatorhernia: clinical analysis of 16 cases and algorithm for its diagnosis and treatment[J]. Hernia, 2008, 12(3): 289-297.
[4]
Mantoo SK, Mak K, Tan TJ. Obturator hernia: diagnosis and treatment in the modern era[J]. Singapore Med J, 2009, 50(9): 866-870.
[5]
Hamguchi M, Matsuo S, Kanetaka K, el al. Obturator hernia in an ageing society[J]. Ann Acad Med Singapore, 2011, 36(6): 413-415.
[6]
Sá NC, Silva VCM, Carreiro PRL, et al. Rare case of incarcerated obturator hernia: Case report and review of literature[J]. Int J Surg Case Rep, 2017, 37: 157-160.
[7]
Shen Z, Zhi CY, Wang RN, et al. A case of obturator hernia leading to right thigh abscess in China[J]. Int J Surg Case Rep, 2016, 28: 340-343.
[8]
Le HT, Burg MD. An obscure cause of hip pain[J]. J Emerg Med, 2012, 42(6): e129-e131.
[9]
Tateno Y, Adachi K. Sudden knee pain in an underweight, older woman: obturator hernia[J]. Lancet, 2014, 384(9938): 206.
[10]
周仁娣, 许凡勇, 夏进东. MSCT诊断闭孔疝的临床价值分析[J]. 医学影像学杂志, 2016, 26(9): 1649-1662.
[11]
Lee WJ, Yen CS. Early Diagnosis of Obturator Hernia Using Bedside Ultrasound[J]. Int J Surg Case Rep, 2016, 10: 117-118.
[12]
Goenka AH, Das CJ, Singh KK, et al. Case of the season: pain and vomiting in an elderly female[J]. Semin Roentgenol, 2009, 44(4): 218-220.
[13]
李文煜, 刘习红. 腹腔镜技术在闭孔疝中的应用[J/CD]. 中华疝和腹壁外科杂志(电子版), 2015, 9(3): 261-262.
[14]
Oviedo RJ, Molinari AHW. Emergency incarcerated obturator hernia repair with biologic mesh in a male patient after ipsilateral hip disarticulation: A case report[J]. Int J Surg Case Rep, 2017, 37: 41-44.
[1] 王亚红, 蔡胜, 葛志通, 杨筱, 李建初. 颅骨骨膜窦的超声表现一例[J/OL]. 中华医学超声杂志（电子版）, 2024, 21(11): 1089-1091.
[2] 唐金侨, 叶宇佳, 王港, 赵彬, 马艳宁. 医学影像学检查方法在颞下颌关节紊乱病中临床应用研究进展[J/OL]. 中华口腔医学研究杂志(电子版), 2024, 18(06): 406-411.
[3] 赵林娟, 吕婕, 王文胜, 马德茂, 侯涛. 超声引导下染色剂标记切缘的梭柱型和圆柱型保乳区段切除术的效果研究[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 634-637.
[4] 屈翔宇, 张懿刚, 李浩令, 邱天, 谈燚. USP24及其共表达肿瘤代谢基因在肝细胞癌中的诊断和预后预测作用[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 659-662.
[5] 马东扬, 李斌, 陆安清, 王光华, 雷文章, 宋应寒. Gilbert 与单层补片腹膜前疝修补术疗效的随机对照研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 629-633.
[6] 中华医学会器官移植学分会. 肝移植术后缺血性胆道病变诊断与治疗中国实践指南[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 739-748.
[7] 郑大雯, 王健东. 胆囊癌辅助诊断研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 769-773.
[8] 王秋生. 胆道良性疾病诊疗策略[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 779-782.
[9] 袁雨涵, 杨盛力. 体液和组织蛋白质组学分析在肝癌早期分子诊断中的研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 883-888.
[10] 中国抗癌协会, 中国抗癌协会大肠癌专业委员会. 中国恶性肿瘤整合诊治指南-肛管癌（2024 版）[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 441-449.
[11] 李浩, 陈棋帅, 费发珠, 张宁伟, 李元东, 王硕晨, 任宾. 慢性肝病肝纤维化无创诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 863-867.
[12] 谭瑞义. 小细胞骨肉瘤诊断及治疗研究现状与进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(08): 781-784.
[13] 王子阳, 王宏宾, 刘晓旌. 血清标志物对甲胎蛋白阴性肝细胞癌诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 677-681.
[14] 陈慧, 邹祖鹏, 周田田, 张艺丹, 张海萍. 皮肤镜对头皮红斑性皮肤病辅助鉴别诊断的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 692-698.
[15] 胡云鹤, 周玉焯, 付瑞瑛, 于凡, 李爱东. CHS-DRG付费制度下GB1分组住院费用影响因素分析与管理策略探讨[J/OL]. 中华临床医师杂志(电子版), 2024, 18(06): 568-574.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号

AI
小
编
AI小编
你好！我是《中华医学电子期刊资源库》AI小编，有什么可以帮您的吗？