闭孔疝诊断和手术治疗(附7例报告)  

Diagnosis and surgical treatment of obturator hernia:a report of 7 cases

作　　者：倪效[1] 谢金昆[1] 蔡滨[1] 许阳贤[1] 张静喆[1] 宋华荣[1] 

机构地区：[1]上海中医药大学附属龙华医院普外科,上海200032

出　　处：《外科理论与实践》2017年第3期252-255,共4页Journal of Surgery Concepts & Practice

摘　　要：目的:分析闭孔疝的诊断和手术方法 ,为临床诊断和治疗闭孔疝提供参考。方法:回顾性分析我院2010年至2016年7例闭孔疝的临床表现、影像学检查及手术情况。结果:早期4例均发生绞窄性肠梗阻,剖腹探查明确诊断,手术采取拉拢修补。近期3例术前明确诊断闭孔疝,其中1例为双侧闭孔疝,手术亦采取拉拢修补。结论:下腹部CT扫描可明确诊断闭孔疝。Howship-Romberg征对本病诊断有重要意义。手术采用修补法,操作安全简便。Objective To analyze the diagnosis and surgical treatment of obturator hernia. Methods Seven cases with obturator hernia from 2010 to 2016 were retrospectively analyzed for the clinical manifestation, CT imaging and operation.Results The definitive diagnosis was made after laparotomy for strangulation obstruction in early 4 cases. The diagnosis of the later 3 cases was done before operation and confirmed during surgery including one case with bilateral obturator her-nia. The simple closure of the hernia defect with suture was used in all cases. Conclusions Computed tomography abdomen pelvis could be useful and Howship-Romberg sign is important in diagnosing obturator hernia. Simple closure with suture is proved to be safe and feasible for obturator hernia.

关 键 词：闭孔疝 Howship-Romberg征 诊断 手术 

分 类 号：R656.2[医药卫生—外科学]