腹腔镜外科杂志2025，Vol.30Issue(11)：850-854,5.DOI:10.13499/j.cnki.fqjwkzz.2025.11.850
闭孔疝的临床特征分析及单中心诊治体会
Analysis of clinical characteristics and single-center diagnostic and therapeutic experience of obturator hernia
摘要
Abstract
Objective:To investigate the clinical characteristics,key diagnostic points,and treatment strategies for obturator hernia(OH).Methods:The clinical data of 14 patients with OH admitted between Apr.2011 and Mar.2025 were retrospectively ana-lyzed,the key diagnostic points,treatment strategy,and prognosis were analyzed.The cohort included 1 male and 13 females,aged(72.5±12.0)years.The mean BMI was(20.1±4.4)kg/m2.The disease course ranged from 1 day to 4 years.The main presenting symptoms included abdominal pain,regional mass,and intestinal obstruction.Results:CT scan was applied for all the patients preopera-tively,and eight(57.1%)of them were definitively suggested OH.Three patients improved with conservative symptomatic treatment and were discharged without surgery.Emergency and selective surgery was performed in five and six patients respectively;among them,7 surgeries were completed laparoscopically,with one case converted to open surgery.Intraoperatively,9 cases of unilateral OH(4 left,5 right)and 2 cases of bilateral OH were identified.Concurrent hernias included 4 ipsilateral indirect inguinal hernias,1 bilateral indi-rect inguinal hernia,and 2 femoral hernias.The median operation time was 160(85.0,174.0)min,blood loss was 10.0(5.0,20)mL,and the mean hospital stay was(8.8±3.7)d.No recurrence,new-onset hernia or other related complications were found during post-operative follow-up period.Conclusions:Abdominopelvic CT scan is an important diagnostic tool for OH.Surgical intervention should be performed once the diagnosis is confirmed.The specific surgical approach can be determined based on intraoperative findings.Laparo-scopic OH repair is an effective treatment method.关键词
疝,闭孔/腹腔镜检查/疝修补术/并发症/诊断/治疗Key words
Hernia,obturator/Laparoscopy/Herniorrhaphy/Complications/Diagnosis/Therapy分类
医药卫生引用本文复制引用
陈海钦,沙地克·阿帕尔,张硕,梁关友,曹新岭..闭孔疝的临床特征分析及单中心诊治体会[J].腹腔镜外科杂志,2025,30(11):850-854,5.基金项目
新疆医科大学第一附属医院青年科研启航专项基金面上项目(2024YFY-QKMS-04),省部共建中亚高发病成因与防治国家重点实验室开放课题项目(SKL-HIDCA-2023-26) （2024YFY-QKMS-04）
