超声检查对绞窄性闭孔疝的术前诊断
Preoperative diagnosis of strangulated obturator hernia using ultrasonography.
作者信息
Yokoyama T, Munakata Y, Ogiwara M, Kamijima T, Kitamura H, Kawasaki S
机构信息
Department of Surgery, Toyoshina Red Cross Hospital, Japan.
出版信息
Am J Surg. 1997 Jul;174(1):76-8. doi: 10.1016/S0002-9610(97)00025-1.
BACKGROUND
Obturator hernia is rarely recognized before surgical intervention, since it is relatively infrequent and its definitive diagnosis is difficult. To change this situation, we introduced ultrasound examination in 1993 for differential diagnosis of strangulated obturator hernia among patients with bowel obstruction of unknown cause.
PATIENTS AND METHODS
Between 1993 and 1995, we encountered 15 patients with suspected obturator hernia based on the presence of bowel obstruction of unknown cause and so-called predisposing factors. These patients underwent ultrasound examinations.
RESULTS
The 4 patients with bowel obstruction caused by strangulated obturator hernia were all correctly diagnosed preoperatively by ultrasonography and were successfully cured by surgery. The time required for diagnosis was shorter than reported previously (average 16.5 h).
CONCLUSIONS
Ultrasonography is useful and reliable for the diagnosis of strangulated obturator hernia and can decrease the morbidity and mortality associated with delayed diagnosis.
背景
闭孔疝在手术干预前很少被识别，因为其相对罕见且确诊困难。为改变这种情况，我们于1993年引入超声检查，用于在病因不明的肠梗阻患者中鉴别诊断绞窄性闭孔疝。
患者与方法
1993年至1995年间，我们遇到15例基于病因不明的肠梗阻和所谓易感因素而疑似闭孔疝的患者。这些患者接受了超声检查。
结果
4例由绞窄性闭孔疝引起肠梗阻的患者术前均经超声正确诊断，并通过手术成功治愈。诊断所需时间比之前报道的更短（平均16.5小时）。
结论
超声检查对于绞窄性闭孔疝的诊断有用且可靠，可降低与延迟诊断相关的发病率和死亡率。
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