小儿非嵌顿性腹股沟斜疝对精索、睾丸影响的临床研究

Clinical study on the effect of juvenile non-incarcerated oblique inguinal hernia on the spermatic cord and testicles

目的 研究非嵌顿性腹股沟斜疝对精索、睾丸的影响。方法 阴囊外手法测定 16 3例无嵌顿史、单侧腹股沟斜疝患儿睾丸体积 ,作为对照同时测定 131例同年龄段正常儿双侧睾丸体积 ;患儿组有 97例、对照组有 82例 ,同时采用B超阴囊外测定。将采用不同方法测定的患儿睾丸体积分别进行统计学处理 ;同时将患儿组双侧睾丸体积差和对照组双侧睾丸体积差进行统计学处理。患儿组均手术治疗 ,术中观察精索静脉 ,术后 3个月、6个月及 6～ 12个月随访测定患睾体积的变化。结果 患儿组双侧睾丸体积有明显差异 (P <0 .0 5 ) ,患侧大于健侧 ;术后 6个月内患睾与健睾仍存在较明显差异 (P <0 .0 5 ) ,术后 6～ 12个月后双侧无明显差异 (P >0 .0 5 )。结论 非嵌顿性腹股沟斜疝对精索、睾丸的发育有不良影响 。

Objective To study the effect of juvenile non incarcerated oblique inguinal hernia on the spermatic cord and testicles.Methods The volume of the testicles in 163 cases of unilateral oblique inguinal hernia without history of incarceration were manually measured outside the scrotum. Serving as controls, volume of testicles of both sides was measured in 131 normal children of same age range. 97 children in patient group and 82 children in control group were subjected to B mode ultrasonic determination of testicle volume from outside of the scrotum. The testicle volume determined by differentmethods was subjected to t test. At the same time the volume difference between the two testicles of different sides were also statistically analyzed. All patients were surgically treated and the spermatic veins were examined during operation. The patients were followed up 3 months, 6 months and 6～12 months after operation for measuring the testicle volume.Results There was significant difference in testicle volume between the testicles of two sides in patient group ( P < 0.05 ), with the testicle on healthy side larger than the involved side. 6 months after operation, there was still obvious difference between the two sides( P < 0.05 ). 6～12?months after the operation no significant difference was found ( P < 0.05 ).Conclusions Non incarcerated oblique inguinal hernia has adverse effect on the spermatic cord and testicles. The existing notion about oblique inguinal hernia and its complications should be re examined.