闭孔疝的CT表现

CT Findings of Obturator Hernia

目的探讨闭孔疝的CT表现,以提高对其疾病的诊断水平。方法回顾性分析2009年10月2010年9月收治的经手术或临床资料证实的3例闭孔疝患者的CT影像学表现,观察闭孔疝发生的位置、密度、形态、强化特征及继发征象。结果 3例闭孔疝均为老年消瘦患者,CT检查发现疝囊位于闭孔外肌与耻骨肌间疝出1例,闭孔外肌上、中束间疝出2例,所有疝出物均为肠管,表现为疝出部位囊性密度影,1例肠壁可见增厚、水肿,诊断为肠壁血运障碍,及时行手术治疗后预后良好。结论 CT检查是闭孔疝有效的检测手段,特别是对于不明原因腹痛合并肠梗阻的老年消瘦患者,CT检查将有助于临床确诊。

Objective To observe the manifestations of CT images of obturator hernia to improve the diagnosis of obturator hernia. Methods The CT images of three patients with obturator hernia confirmed by surgery or clinical data from October 2009 to September 2010 were retrospectively analyzed. The location, density, morphology, enhancement patterns and secondary signs were observed. Results Three patients with obturator hernia were elder and emaciated. The hernia sac located between the pectineus and obturator externus muscles in two patients, between the superior and medial fasciculi of the obturator externus muscle in one patient. All contents were small intestine, performed as a low-density mass in the location. One patient with thick and hydropic intestinal wall diagnosed as strangulated obturator hernia had a good prognosis after immediately laparotomy. Conclusion CT examine is an effective measure for obturator hernia, especially for elder and emaciated patients with intestine obstruction due to unknown reason. CT examine is helpful for the diagnosis.