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目的探讨超声检查对闭孔疝的诊断价值。方法回顾性分析8例经超声检查后手术证实的闭孔疝患者的超声表现及临床资料,与手术结果进行对照。结果8例闭孔疝中右侧7例,左侧1例。疝囊位于耻骨上支后下方的闭孔外肌与耻骨肌之间,疝内容物均为肠管;肠管存活5例,肠管坏死3例。结论超声不仅可以明确诊断闭孔疝,而且还可以通过观察疝内容物的血供情况,初步判断疝囊内肠管是否存活,可作为临床可疑闭孔疝的老年患者首选的影像学检查手段。
Objective To investigate the diagnostic value of ultrasound in obturator hernia. Methods The ultrasound findings and clinical data of 8 cases of obturator hernia confirmed by operation after ultrasound examination were retrospectively analyzed and compared with the results of surgery. Results 8 cases of obturator hernia in the right side of 7 cases, 1 case left. The hernia sac was located between the obturator foramen pubis and the pubis muscle under the supra pubic branch. The contents of the hernia were all in the intestine; the intestine survived in 5 cases and the intestine necrosis in 3 cases. Conclusion Ultrasound can not only diagnose obturator hernia accurately, but also can determine the blood supply of hernia contents initially to determine whether the intestine of the hernia sac survives. It can be used as the first imaging examination in senile patients with clinical suspected obturator hernia.