闭孔疝的诊断与治疗体会(附19例分析)

Diagnosis and treatment experience of obtruator hernia:a report of 19 cases

目的:闭孔疝误诊、漏诊率较高,探讨其有效诊断与治疗方法。方法:对19例闭孔疝回顾性分析。结果:闭孔疝右侧15例,左侧4例,结合腹部X线片与B超、盆腔CT检查提高诊断率,手术均治愈。结论:闭孔疝多发生于老年女性,早期诊断率低,加强对该病的认识,掌握早期手术指针,是提高治愈率和降低死亡率的关键。

Objective Obturator hernia misdiagnosis and missed diagnosis is higher, To discuss the effective diagnosis and treat- ment. Method 19 cases which were obturator hernia in our hospital from May 2000 to 2011 May were retrospectively analyzed. Results 15 eases of obturator hernia were right side,4 cases were left side,comb/ned with abdom/nal X -ray and B to exceed,pelvic CT examination increase diagnosis rate, all patients were sreeessfally cured in surgery opetation. Conclusion Obturator hernia occurs more often in older women, early diagnosis rate is low, to strengthen the understanding of the disease, grasping the early surgery pointer is the key to improve the cure rate and reduce the mortality.