儿童腹股沟疝个体化治疗的应用研究

Individualization in the treatment of inguinal hernia in children

目的探讨儿童腹股沟疝个体化治疗方法在临床的应用，为儿童腹股沟疝的外科治疗提供相对合理的方案。方法2009年3月至2013年6月，首都医科大学附属北京朝阳医院共对765例腹股沟疝患儿开展个体化治疗方案，记录患者手术前后的临床参数，观察并分析术后并发症及复发情况。结果术后随访观察14～66个月，未出现伤口感染、戳孔血肿、戳孔疝、慢性疼痛或异物感，无疝复发病例。小儿腹股沟疝组术后发生阴囊积液45例，青少年腹股沟疝组发生阴囊积液25例。结论儿童腹股沟疝个体化治疗，目前是一种有效且相对合理的治疗方案，有助于疾病的最佳治疗，且对患儿的创伤相对较小，利于临床的推广。

Objective To evaluate the individualized treatment of inguinal hernia in children, and to provide a rational strategy for surgical treatment of inguinal hernia in children. Methods A total of 765 cases of inguinal hernia in children who underwent individualized treatment, from March 2009 to June 2013, were enrolled in this study. Preoperative and postoperative parameters such as baseline information, postoperative complications and recurrence rate were recorded and analyzed. Results During a follow-up period of 14 to 66 months, there were 45 patients in pediatric group and 25 patients in teenagers group suffering scrotal seroma, without any other complications such as wound infection, pain or foreign body sensation, etc. No recurrence was observed. Conclusion The individualized therapy for inguinal hernia in children appears to be an effective and relatively rational strategy, having less trauma and optimal outcome, which is worthy to be promoted.