闭孔疝的诊断与治疗(附13例报告)  

Diagnosis and treatment of obturator hernia:a report of 13 cases

作　　者：颜志刚[1] 刘山[1] 李锋[1] 魏明 文平 

机构地区：[1]德阳市人民医院普外科,四川德阳618000 [2]德阳市建筑医院普外科,四川德阳618000

出　　处：《外科理论与实践》2006年第4期326-328,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨闭孔疝的临床病理特征、诊断及治疗方法。方法:对1983年1月～2006年3月经手术明确诊断的13例闭孔疝的临床资料进行分析总结。结果:13例的术前确诊率为15%(2/13),误诊率85%(11/13),全组均采用剖腹探查切口行闭孔疝修补术。本组的治愈率为77%(10/13),死亡率为23%(3/13)。结论:闭孔疝术前易误诊、漏诊,对年老体弱、多胎生育伴有不明原因肠梗阻表现之妇女,应高度警惕闭孔疝。Howship-Romberg征、Hannington-Kiff征阳性和CT检查可明确诊断,手术是唯一有效的方法,早确诊、及时手术是减少并发症、降低死亡率的关键。Objective To explore the clinico-pathological features, diagnosis and therapeutic measures of obturator hernia. Methods The clinical data of 13 obturator hernia patients who underwent operation were studied retrospectively. Results Among these 13 cases, the accurate preoperative diagnostic rate was only 15% （2/13）, with a mis-diagnostic rate of 85% （11/13）. All the hernias were repaired by hernia ring fixation and hernioplasty, with a curative rate of 77% （10/13） and a mortality rate of 23% （3/13）, Conclusions Obturator hernia is easily mis-diagnosed or ignored. The elderly and multiparous women with bowel obstruction should be highly suspicious for this disease. The positive manifestations of Howship-Romberg sign, Hannington-Kiff sign, and positive CT findings may help to reach an accurate diagnosis. Operation is the only effective means of treatment. Early diagnosis and operation are the key-points to reduce the mortality.

关 键 词：疝 闭孔 诊断 外科手术 

分 类 号：R656.2[医药卫生—外科学]