探讨闭孔疝的临床特点、诊断方式以及治疗方法，以期为该病的诊治提供参考。

回顾性分析2017年2月至2022年5月，扬州大学附属医院收治并经手术证实的13例闭孔疝患者临床资料。记录患者手术时间，术中出血量、住院时间、随访时间及复发情况。

13例患者均行手术治疗，8例行传统剖腹探查，5例行腹腔镜经腹腹膜前疝修补术。1例术后切口出现感染，1例术后出现肺部感染，对症处理后均痊愈。1例患者因基础性疾病致呼吸衰竭转入重症监护室第2天后死亡，余12例患者痊愈出院。住院时间4~25 d，平均（11.5±5.8）d。治愈出院患者均获随访，随访时间1~63个月，平均（35.3±22.9）个月，无疝复发。

闭孔疝是临床少见疾病，临床表现缺乏特异性，年老体弱的经产妇出现原因不明的小肠梗阻症状应考虑闭孔疝可能；术前行腹盆腔CT检查有助于闭孔疝尽早的诊断；明确诊断后应尽早手术，患者条件允许建议腹腔镜探查并修补，依据术中具体情况，若没有禁忌证，为防止复发，可使用补片以增强修补效果。

This article analyzed and summarized the clinical characteristics, diagnosis and treatment methods of obturator hernia, in order to provide reference for the diagnosis and treatment of this disease.

The clinical data of 13 patients with obturator hernia who were admitted to the Affiliated Hospital of Yangzhou University and were confirmed by surgery from February 2017 to May 2022 were retrospectively analyzed. The operation time, intraoperative blood loss, hospital stay, follow-up time and recurrence were recorded.

All 13 patients underwent surgical treatment, 8 underwent traditional laparotomy, and 5 underwent TAPP repair. There was 1 case of postoperative incision infection, 1 case of postoperative pulmonary infection, both recovered after symptomatic treatment. One patient died the next day after being transferred to the ICU due to respiratory failure caused by underlying diseases, and the remaining 12 patients recovered and were discharged. The hospital stays ranged from 4 to 25 days, with an average of (11.5±5.8) days. All patients were cured and discharged, and were followed up for 1 to 63 months with a mean of (35.3±22.9) months. No hernia recurrence was observed during the follow-up period.

Obturator hernia is a rare disease in clinical practice, and its clinical manifestations are not specific. The diagnosis of obturator hernia should be considered in elderly and infirm multiparous women presenting with unexplained symptoms of small bowel obstruction. Preoperative abdominal and pelvic CT examination is helpful for early diagnosis of obturator hernia. Surgery should be performed as soon as possible after a clear diagnosis, and laparoscopic exploration and repair are recommended if the patient's conditions permit. According to the specific circumstances of the operation, if there is no contraindication, in order to prevent recurrence, a mesh can be used to enhance the repair effect.