300例婴幼儿腹股沟嵌顿疝手法复位体会

Experience of the taste on technique diaplasis of incarcerated hernia in infant in 300 cases

目的讨论婴幼儿腹股沟嵌顿疝手法复位的相关问题,以总结经验。方法选择本院2007年1月～2012年7月嵌顿时间在3～24h,一般情况良好的嵌顿性腹股沟斜疝婴幼儿300例试行手法复位。患儿采取头低足高位卧位,家属于一旁协助,医生于患儿右侧,用左手拇指、食指固定疝环,右手握持疝囊下方,向外上腹股沟方向挤压,同时顺应患儿呼吸,反复多次进行,直至嵌顿内容物还纳腹腔。结果 300例复位成功285例,占95.0%。结论只需严格掌握手法复位适应证及禁忌证,操作到位,婴幼儿腹股沟嵌顿疝手法复位是安全有效的。

Objective To discuss the clinical problem related to the technique diaplasis of incarcerated hernia in infant in order to summarize experience. Methods Three hundred cases of incarcerated hernia in our hospital from 2007 January to 2012 July within 3-24 hours whose general condition were good were enrolled. The patients were placed with head down, in the Trendelenburg position. The family sat aside to assist. The doctor sat at the right side of the patient, thumb and in- dex finger of the left hand fixuped the abdominal inguinal ring, four fingers of right hand made extrusion towards the in- guinal canal, conforming to the breathing of the patient. The operation repeated again and again, until the content of the hernia whole returning. Results Two hundred and eighty-five cases （95.0%） were cured by technique diaplasis in 300 cas- es. Conclusion Technique diaplasis is successful and safe if only we master the indication and contraindication and with the fight method.