闭孔疝诊治的探讨

Diagnosis and treatment of obturator hernia

目的总结闭孔疝的诊断和治疗经验。方法对我院1980年1月至2006年12月收治的32例术前未能确诊的闭孔疝的临床资料进行回顾性分析。并将32例按是否积极行剖腹探查术分为两组(A组18例,3d内行剖腹探查术;B组14例,非手术治疗超过3d)。结果A组的肠切除率和病死率较B组明显为低(P<0.05)。结论对可疑闭孔疝病人及早行剖腹探查术可显著降低闭孔疝病人的肠切除率和病死率。

Objective To explore the diagnosis and therapeutic measures of obturator hernia. Methods The clinical data of 32 patients with obturator hernia that was not confirmed before operation in our hospital from Jaru 1980 to Dec. 2006 were analyzed retrospectively. These 32 cases were di- vided into 2 groups： group A, receiving explorative lapar6tomy in 3 days（18 cases） ~group B, receiving conservative treatment over 3 days（ 14 cases）. Results The rate of enterectomy and mortality in group A were obviously lower than those in group B （P〈0. 05）. Conclusion Early diagnosis and active lapa- rotomy to patients with suspicious obturator hernia can significantly reduce the rate of enterectomy and mortality.