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坐骨疝诊断中成像方式的选择。

Choice of imaging modality in the diagnosis of sciatic hernia.

作者信息

Labib Peter L Z, Malik Sohail N

机构信息

Department of Surgery, Weston General Hospital, Somerset, UK

Department of Surgery, Weston General Hospital, Somerset, UK.

出版信息

J Surg Case Rep. 2013 Dec 4;2013(12):rjt102. doi: 10.1093/jscr/rjt102.

DOI:10.1093/jscr/rjt102
PMID:24968433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3854653/
Abstract

Sciatic hernias are one of the rarest types of hernia and often pose diagnostic difficulty to clinicians. We report a case of an 80-year-old lady with a sciatic hernia who had a falsely negative computed tomography (CT) but was found to have a colonic hernia on ultrasonography. The authors recommend that for patients in which there is a high degree of clinical suspicion for a sciatic hernia and a negative CT, ultrasonography may be considered as a useful imaging modality to confirm the diagnosis.

摘要

坐骨疝是最罕见的疝类型之一，常常给临床医生带来诊断困难。我们报告一例80岁女性坐骨疝患者，其计算机断层扫描（CT）结果为假阴性，但超声检查发现有结肠疝。作者建议，对于临床高度怀疑坐骨疝但CT检查结果为阴性的患者，可考虑将超声检查作为一种有用的成像方式来确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15e3/3854653/114e953e90c1/rjt10203.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15e3/3854653/b978aec99c80/rjt10201.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15e3/3854653/e16a18e6c321/rjt10202.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15e3/3854653/114e953e90c1/rjt10203.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15e3/3854653/b978aec99c80/rjt10201.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15e3/3854653/e16a18e6c321/rjt10202.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15e3/3854653/114e953e90c1/rjt10203.jpg

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本文引用的文献

1
Sciatic hernia clinically mimicking obturator hernia, missed by ultrasonography: case report.临床症状类似闭孔疝的坐骨疝，超声检查漏诊：病例报告
Ulus Travma Acil Cerrahi Derg. 2011 May;17(3):277-9. doi: 10.5505/tjtes.2011.62347.
2
Herniation of a broad ligament dermoid cyst through sciatic foramen--a rare cause of gluteal swelling.阔韧带皮样囊肿经坐骨孔疝出——臀肿的罕见原因
J Indian Med Assoc. 2010 Jun;108(6):374-5.
3
Sciatic hernia causing sciatica: MRI and MR neurography showing entrapment of sciatic nerve.坐骨疝导致坐骨神经痛：MRI 和 MR 神经成像显示坐骨神经受压。
Insights Imaging. 2019 Jul 5;10(1):66. doi: 10.1186/s13244-019-0739-1.
4
Successful manual reduction for ureterosciatic hernia: A case report.输尿管坐骨疝手法复位成功：一例报告
Int J Surg Case Rep. 2019;57:145-151. doi: 10.1016/j.ijscr.2019.03.036. Epub 2019 Mar 30.
Br J Radiol. 2010 Mar;83(987):e65-6. doi: 10.1259/bjr/47866965.
4
Sciatic hernia: a comprehensive review of the world literature (1900-2008).坐骨疝：世界文献综述（1900-2008 年）。
Am J Surg. 2010 Jan;199(1):52-9. doi: 10.1016/j.amjsurg.2009.02.009.
5
An unusual presentation of a sciatic hernia.坐骨疝的一种罕见表现。
Am Surg. 2009 Nov;75(11):1139-41.
6
Sciatic hernia: laparoscopic transabdominal extraperitoneal repair with plug and patch.坐骨疝：腹腔镜经腹腹膜外修补术联合 Plug 和 Patch。
Hernia. 2010 Feb;14(1):97-100. doi: 10.1007/s10029-009-0509-y. Epub 2009 May 6.