CAJ | 학술논문

目的探讨CT检查对闭孔疝的诊断价值，提高闭孔疝术前诊断水平。方法搜集我院2006年6月-2012年6月收治的经手术证实的闭孔疝患者4例，回顾性分析其CT表现及临床资料，观察闭孔疝的位置、疝内容物、形态、密度等征象。结果4例闭孔疝均为老年女性患者，平均年龄76.8岁，平均体重41.5Kg；CT检查显示疝内容物均为小肠，右侧3例，左侧1例，疝囊位于闭孔外肌与耻骨肌之间，表现为类圆形囊性密度影。结论 CT对闭孔疝的术前诊断非常有价值，为可疑闭孔疝的老年肠梗阻患者的首选检查手段。
목적탐토CT검사대폐공산적진단개치，제고폐공산술전진단수평。방법수집아원2006년6월-2012년6월수치적경수술증실적폐공산환자4례，회고성분석기CT표현급림상자료，관찰폐공산적위치、산내용물、형태、밀도등정상。결과4례폐공산균위노년녀성환자，평균년령76.8세，평균체중41.5Kg；CT검사현시산내용물균위소장，우측3례，좌측1례，산낭위우폐공외기여치골기지간，표현위류원형낭성밀도영。결론 CT대폐공산적술전진단비상유개치，위가의폐공산적노년장경조환자적수선검사수단。
Objective To investigate the value of CT in the diagnosis of obturator hernia and to improve the preoperative diagnosing accuracy. Materials and Methods Four obturator hernia cases confirmed by surgery in our hospital from June 2008 to June 2012 were collected, and their clinical data and CT images were retrospectively analyzed. The focus of analysis was laid on the position,contents,morphology and density of the sac. Results All of the 4 cases were emaciated elderly women with mean age of 76.8 years and mean weight of 41.5 Kg; CT showed all the contents in the hernia sac were intestine, and right side in 3 cases,left in 1 case, the hernia sac located between the pectineus and obturator externus muscles,and appeared as a low density mass. Conclusion CT is most valuable for preoperative diagnosis of obturator hernia, and should be the optimal modality for elderly patients with intestinal obstruction suspected of obturator hernia.