CAJ | 학술논문

闭孔疝占所有腹壁疝的0．05％～1．4％，常以急性肠梗阻为症状，因术前诊断困难，易延误治疗，导致术后死亡率高。根据发生的解剖途径或疝囊形成阶段闭孔疝分为3型，其临床表现以急性肠梗阻症状和闭孔神经受压为主。盆腔 CT 检查明显提高术前诊断率，可作为标准诊断方法。剖腹探查为闭孔疝的常规手术方式，尤其当病因未明时，经腹膜外入路手术和经腹腔镜入路手术在选择性患者中可采用。我们对闭孔疝解剖、临床表现、诊断和治疗4个方面进行综述，以提高临床对闭孔疝的认识和掌握正确诊治方法，减少发病率和死亡率。
폐공산점소유복벽산적0．05％～1．4％，상이급성장경조위증상，인술전진단곤난，역연오치료，도치술후사망솔고。근거발생적해부도경혹산낭형성계단폐공산분위3형，기림상표현이급성장경조증상화폐공신경수압위주。분강 CT 검사명현제고술전진단솔，가작위표준진단방법。부복탐사위폐공산적상규수술방식，우기당병인미명시，경복막외입로수술화경복강경입로수술재선택성환자중가채용。아문대폐공산해부、림상표현、진단화치료4개방면진행종술，이제고림상대폐공산적인식화장악정학진치방법，감소발병솔화사망솔。
Obturator hernia is an infrequent but significant cause of intestinal obstruction.The in-cidence of obturator hernias is between 0.05% and 1.4% of all hernias.The mortality rate is high due to the difficulty in diagnosis and delay in surgical treatment.Three progressive stages of obturator herniation have been classified and can be one of three different varieties depending on the pathway the herniated sac follows.The most common clinical presentation is intestinal obstruction and obturator nerve compression. Computed tomography scan is the most favored diagnostic imaging method.The abdominal surgical ap-proach is most preferred when a diagnosis is uncertain and laparoscopy and extraperitoneal surgery should be employed in elective surgeries.This aim of this article is to review the diagnosis and treatment of obtura-tor hernia by describing the anatomy,clinical presentation,diagnosis,and management currently in use.In-creased awareness and proper management of this condition will result in decreased morbidity and mortality.