高龄患者闭孔疝临床分析及愈后：附3例报告

Clinical analysis and prognosis of elderly patients with obturator hernia： a report of three cases

目的总结分析闭孔疝早期诊治与愈后关系的经验。方法回顾性分析笔者所在医院2009年11月至2014年11月期间收治的3例闭孔疝高龄患者临床资料。结果3例患者均手术成功，早期1例术后因肺部感染及肠瘘并腹腔感染而死亡。另外2例恢复良好，住院10-14天，其中1例于术后2年死于心脏病变，疝未复发，另外1例随访3年，疝未复发。结论闭孔疝临床症状不典型，无特异性，术前诊断困难，丰富的临床经验及腹部CT检查有利于提高诊断率，早期手术干预，能获得良好愈后。

Objective To summarize and analyze the experience of early diagnosis and treatment of obturator hernia. Methods The clinical data of 3 elderly patients with obturator hernia treated at our hospital from November, 2009 to November, 2014 were reviewed. Results All the 3 patients＇ operation was successful. Not long after operation, 1 patient died because of lung and abdominal infection and intestine fistula. The other 2 cases recovered well and were hospitalized 10-14 days; 1 case died from cardiac disease 2 years after operation and the other case was followed up 3 years and didn＇t recurred hernia. Conclusions The clinical symptoms obturator hemia are atypical and not specific, so it cannot be easily diagnosed before operation. Rich clinical experience and abdominal CT examination are helpful in increasing its diagnostic rate. Early surgical intervention can obtain good prognosis.