绞窄性闭孔疝CT影像表现及临床诊疗11例回顾性分析

Computed CT image and clinical diagnosis with treatment of strangulated obturator hernia:a report of 11 cases

目的分析绞窄性闭孔疝的临床影像表现、诊治过程及预后情况。方法2012年1月~2020年12月我院收治的绞窄性闭孔疝病人11例,1例放弃手术治疗,10例接受急诊手术治疗。结果11例病人均为老年女性,均以腹痛、腹胀、呕吐等症状就诊,术前CT影像表现均考虑为闭孔疝伴绞窄性肠梗阻,术后恢复良好,痊愈出院;治愈出院病人均进行随访,未见闭孔疝复发。结论老年女性病人出现不明原因的小肠梗阻时应考虑闭孔疝可能,急诊腹部CT检查有利于早期明确诊断,尽早手术还纳绞窄肠管及疝修补。

Objective To retrospectively analyze the Clinical imaging findings,diagnosis and treatment process and prognosis of 11 cases of strangulated obturator hernia admitted to our hospital.Methods The medical records of 11 patients with strangulated obturator hernia admitted to Mindong Hospital affiliated to Fujian Medical University from January 2012 to December 2020 were retrospectively analyzed.One case gave up surgery and 10 cases received emergency surgery.Results All 11 patients were elderly women,all of whom presented with symptoms such as abdominal pain,abdominal distention and vomiting,all of whom presented with obturator hernia accompanied by strangulation ileus.One patient died due to the abandonment of surgical treatment.The other 10 patients were treated by emergency surgery and recovered well after operation.All patients discharged from hospital after cure were followed up,and no recurrence of obturator hernia was found.Conclusion Obturator hernia should be considered in elderly female patients with small bowel obstruction of unknown cause.Emergency abdominal CT examination is conducive to early diagnosis and early operation of strangulated bowel and hernia repair,and all patients have a good prognosis.