18例闭孔疝的临床诊治分析

doi:10. 3969 / j. issn. 2096-2266. 2020. 02. 014

大理大学学报 ›› 2020, Vol. 5 ›› Issue (2): 65-67.DOI: 10. 3969 / j. issn. 2096-2266. 2020. 02. 014

18例闭孔疝的临床诊治分析

施荣杰¹ ，陈序² ，寸向农 ^3*

（1.大理大学第一附属医院消化内科，云南大理 671000；2.大理大学第一附属医院信息科，
云南大理 671000；3.大理大学第一附属医院普外科，云南大理 671000）

收稿日期:2019-03-01 修回日期:2019-04-29 出版日期:2020-02-15 发布日期:2020-02-15
通讯作者: 寸向农，副主任医师，E-mail：3168167636@qq.com。
作者简介:施荣杰，副主任医师，主要从事消化系统疾病基础与临床研究。

Clinical Analysis of 18 Cases with Obturator Hernia

Shi Rongjie¹ , Chen Xu ² , Cun Xiangnong ^3*

（1. Department of Gastroenterology, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China; 2. Department of
Information, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China; 3. Department of General Surgery,
The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China）

Received:2019-03-01 Revised:2019-04-29 Online:2020-02-15 Published:2020-02-15

摘要/Abstract

摘要： 目的：对闭孔疝的诊断和治疗进行分析、总结以减少误诊及漏诊。方法：回顾性分析2013年1月至2018年12月，大理
大学第一附属医院收治各科的18例闭孔疝患者的相关临床资料。结果：术前诊断9例，术中诊断9例。1例行保守治疗，17例
行手术治疗，其中左侧10例，右侧6例，双侧1例。1例术后第8天因黏连性肠梗阻行二次手术。1例术后突发意识障碍、呼吸
衰竭而自动出院；1例术后1年复发，而行闭孔疝补片修补术。结论：体型消瘦的老年患者出现不明原因的肠梗阻，均应考虑是
否为闭孔疝，盆腔CT可作为术前的常规检查，力争做到早诊断、及时手术治疗，尽量避免肠道绞窄坏死，提高患者预后质量。

关键词: 闭孔疝, 诊断, 预后

Abstract: Objective: To analyze and summarize the diagnosis and treatment of obturator hernia in order to reduce misdiagnosis.
Methods: A retrospective analysis was conducted on 18 patients with obturator hernia who were admitted to the First Affiliated Hospital
of Dali University from January 2013 to December 2018. Results: 9 cases were diagnosed preoperatively and 9 cases were diagnosed
intraoperatively. One patient underwent conservative treatment and 17 patients underwent surgical treatment, including 10 patients on
the left side, 6 patients on the right side, and 1 patient on both sides. One patient underwent 2 operations for adhesion intestinal
obstruction on the 8th day after surgery. One patient was discharged from hospital with sudden disturbance of consciousness and
respiratory failure. One patient relapsed 1 year after operation, and the repair of obturator hernia was performed. Conclusion: When
thin elderly patients have unexplained intestinal obstruction, we should consider whether it is obturator orbital. Pelvic CT can be used
as a routine examination before surgery, and strive to achieve early diagnosis and timely surgical treatment to avoid intestinal necrosis
and improve patients′ prognosis quality.

Key words: obturator hernia, diagnosis, prognosis

施荣杰,陈序,寸向农 . 18例闭孔疝的临床诊治分析[J]. 大理大学学报, 2020, 5(2): 65-67.

Shi Rongjie,Chen Xu,Cun Xiangnong . Clinical Analysis of 18 Cases with Obturator Hernia[J]. Journal of Dali University, 2020, 5(2): 65-67.

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18例闭孔疝的临床诊治分析

Clinical Analysis of 18 Cases with Obturator Hernia

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