小儿腹股沟嵌顿疝诊治体会

Diagnosis and treatment of incarcerated inguinal hernia in pediatric patients

目的探讨小儿腹股沟嵌顿疝治疗方法的选择及适应证的掌握。方法回顾性分析2006年3月至2011年3月小儿腹股沟嵌顿疝357例临床资料。结果 357例患者全部治愈。其中手法复位337例,成功329例,成功率为97.6%,手法复位组随访3d至1个月,无并发症,择期行手术治疗,术后随访3～6个月,均无并发症出现;急诊手术28例,术后随访5年,复发3例,并发肠梗阻1例。结论小儿腹股沟嵌顿疝应首选手法复位,尽量避免急诊手术,复位成功后择期手术,可以减少并发症,缩短住院时间,降低医疗费用。

Objective To explore the treatment options and indications of incarcerated inguinal hernia. Methods A total of 357 cases of inearcerated inguinal hernia clinical data from March 2006 to March 2011 were retrospectively analyzed. Results All patients were cured. Of them, 337 cases received manual reduction with a success ratio of 97.6%. The patients were followed up for 3 days to 1 month without any complications, then they received followed up for 3 to 6 months without any complications. Of all ,28 cases received emergency surgery and were followed up for 5 years including 3 cases of recurrence and 1 case of intestinal obstruction. Conclusions Manual reduction should be the first choice in incarcerated inguinal hernia to avoid emergency surgery and the selective surgery after a successful reset was recommended, which can reduce complications, shorten hospitalization stays with lower medical costs.