Eight Cases Review of Obturator Hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 王华 , 张兵 , 董培德

Corresponding author：

王华, Email: wanghua1967mail@163.com

Keywords：

闭孔疝; CT 检查; 术前诊断; 手术

Video：

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目的　探讨闭孔疝的诊断和治疗方法。
方法　回顾性分析了我院2001年10月至2009年8月期间收治并经手术证实的8例闭孔疝患者的临床资料。
结果　8例均为女性，其中7例是老年、体弱的多产妇，1例是已婚年轻女性。平均年龄74.6岁（46～85岁），平均体重为39.1 kg（34～43 kg），平均生育5胎（1～10胎）。8例患者中5例术前经CT检查确诊而行手术治疗，3例由外院转入者在行急诊剖腹探查术中确诊。7例行坏死小肠切除吻合术，1例行嵌頓小肠复位术。术后4例出现并发症：1例肺炎、1例切口感染、1例低蛋白水肿、1例为酸中毒和低血钾（死亡）。7例痊愈出院，1例死亡。
结论　闭孔疝缺乏特异性表现，对年老体弱的经产妇出现腹痛、呕吐和股部疼痛应想到闭孔疝的可能；CT检查能提高闭孔疝的诊断率。准确的诊断和及时的手术干预是改善闭孔疝患者预后的关键。

Citation： 王华,张兵,董培德. Eight Cases Review of Obturator Hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(1): 96-98. doi: Copy

1.	Lo CY, Lorentz TG, Lau PW. Obturator hernia presenting as small bowel obstruction [J]. Am J Surg, 1994, 167(4)： 396-398.
2.	Hsu CH, Wang CC, Jeng LB, et al. Obturator hernia：a report of eight cases [J]. Am Surg, 1993, 59(11)： 709-711.
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4.	Bjork KJ, Mucha P Jr, Cahill DR. Obturator hernia [J]. Surg Gynecol Obstet, 1988, 167(3)： 217-222.
5.	Gray SW, Skandalakis JE, Soria RE, et al. Strangulated obturator hernia [J]. Surgery, 1974, 75(1)： 20-27.
6.	Kozlowski JM, Beal JM. Obturator hernia：an elusive diagnosis [J]. Arch Surg, 1977, 112(8)： 1001-1002.
7.	Yokoyama Y, Yamaguchi A, Isogai M, et al. Thirty-six cases of obturator hernia：does computed tomography contribute topostoperative outcome? [J]. World J Surg, 1999, 23(2)： 214-217.
8.	Yip AW, Ahchong AK, Lam KH. Obturator hernia： a continuing diagnostic challenge [J]. Surgery, 1993, 113(3)： 266-269.
9.	Sinha SN, Decosta AE. Obturator hernia [J]. Aust N Z J Surg, 1983, 53(4)： 349-351.
10.	Yokoyama T, Munakata Y, Ogiwara M, et al. Preoperative diagnosis of strangulated obturator hernia using ultrasonography [J].Am J Surg, 1997, 174(1)： 76-78.
11.	Ijiri R, Kanamaru H, Yokoyama H, et al. Obturator hernia：the usefulness of computed tomography in diagnosis [J]. Surgery,1996, 119(2)： 137-140.
12.	Zerbey AL 3rd, Larsen CR, Sanders LE. Bilateral obturator hernias：case report, radiographic characteristics, and brief review of literature [J]. Comput Med Imaging Graph, 1993, 17(6)： 465-468.
13.	Bergstein JM, Condon RE. Obturator hernia： current diagnosis and treatment [J]. Surgery, 1996, 119(2)： 133-136.
14.	Nishina M, Fujii C, Ogino R, et al. Preoperative diagnosis of obturator hernia by computed tomography in six patients [J]. J Emerg Med, 2001, 20(3)： 277-280.
15.	Cueto-García J, Rodríguez-Diaz M, Elizalde-Di Martino A. Incarcerated obturator hernia successfully treated by laparoscopy [J].Surg Laparosc Endosc, 1998, 8(1)： 71-73.
16.	Kim JJ, Jung H, Oh SJ, et al. Laparoscopic transabdominal preperitoneal hernioplasty of bilateral obturator hernia [J]. Surg Laparosc Endosc Percutan Tech, 2005, 15(2)： 106-109.
17.	Haith Jr LJ, Simeone MR, Reilly KJ, et al. Obturator hernia：laparoscopic diagnosis and repair [J]. JSLS, 1998, 2(2)： 191-193.
18.	Miki Y, Sumimura J, Hasegawa T, et al. A new technique of laparoscopic obturator hernia repair：report of a case [J]. Surg Today, 1998, 28(6)： 652-656.
19.	Losanoff JE, Richman BW, Jones JW. Obturator hernia [J]. J Am Coll Surg, 2002, 194(5)： 657-663.

1. Lo CY, Lorentz TG, Lau PW. Obturator hernia presenting as small bowel obstruction [J]. Am J Surg, 1994, 167(4)： 396-398.
2. Hsu CH, Wang CC, Jeng LB, et al. Obturator hernia：a report of eight cases [J]. Am Surg, 1993, 59(11)： 709-711.
3. Cubillo E. Obturator hernia diagnosed by computed tomography [J]. Am J Roentgenol, 1983, 140(4)： 735-736.
4. Bjork KJ, Mucha P Jr, Cahill DR. Obturator hernia [J]. Surg Gynecol Obstet, 1988, 167(3)： 217-222.
5. Gray SW, Skandalakis JE, Soria RE, et al. Strangulated obturator hernia [J]. Surgery, 1974, 75(1)： 20-27.
6. Kozlowski JM, Beal JM. Obturator hernia：an elusive diagnosis [J]. Arch Surg, 1977, 112(8)： 1001-1002.
7. Yokoyama Y, Yamaguchi A, Isogai M, et al. Thirty-six cases of obturator hernia：does computed tomography contribute topostoperative outcome? [J]. World J Surg, 1999, 23(2)： 214-217.
8. Yip AW, Ahchong AK, Lam KH. Obturator hernia： a continuing diagnostic challenge [J]. Surgery, 1993, 113(3)： 266-269.
9. Sinha SN, Decosta AE. Obturator hernia [J]. Aust N Z J Surg, 1983, 53(4)： 349-351.
10. Yokoyama T, Munakata Y, Ogiwara M, et al. Preoperative diagnosis of strangulated obturator hernia using ultrasonography [J].Am J Surg, 1997, 174(1)： 76-78.
11. Ijiri R, Kanamaru H, Yokoyama H, et al. Obturator hernia：the usefulness of computed tomography in diagnosis [J]. Surgery,1996, 119(2)： 137-140.
12. Zerbey AL 3rd, Larsen CR, Sanders LE. Bilateral obturator hernias：case report, radiographic characteristics, and brief review of literature [J]. Comput Med Imaging Graph, 1993, 17(6)： 465-468.
13. Bergstein JM, Condon RE. Obturator hernia： current diagnosis and treatment [J]. Surgery, 1996, 119(2)： 133-136.
14. Nishina M, Fujii C, Ogino R, et al. Preoperative diagnosis of obturator hernia by computed tomography in six patients [J]. J Emerg Med, 2001, 20(3)： 277-280.
15. Cueto-García J, Rodríguez-Diaz M, Elizalde-Di Martino A. Incarcerated obturator hernia successfully treated by laparoscopy [J].Surg Laparosc Endosc, 1998, 8(1)： 71-73.
16. Kim JJ, Jung H, Oh SJ, et al. Laparoscopic transabdominal preperitoneal hernioplasty of bilateral obturator hernia [J]. Surg Laparosc Endosc Percutan Tech, 2005, 15(2)： 106-109.
17. Haith Jr LJ, Simeone MR, Reilly KJ, et al. Obturator hernia：laparoscopic diagnosis and repair [J]. JSLS, 1998, 2(2)： 191-193.
18. Miki Y, Sumimura J, Hasegawa T, et al. A new technique of laparoscopic obturator hernia repair：report of a case [J]. Surg Today, 1998, 28(6)： 652-656.
19. Losanoff JE, Richman BW, Jones JW. Obturator hernia [J]. J Am Coll Surg, 2002, 194(5)： 657-663.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Eight Cases Review of Obturator Hernia

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