“十”字形封脐法早期治疗婴幼儿脐疝的疗效观察

Curative effect of ‘+’ cross System for infants with umbilical hernia

目的探讨婴幼儿脐疝保守治疗的可行性及最佳时机,评价创新"十"字形封脐法治疗婴幼儿脐疝的疗效。方法 507例脐疝婴幼儿,均采用该院创新的"十"字封脐法保守治疗。按照患儿就诊时月龄大小分为6组(≤30 d、31 d^2个月、2~3个月、3~4个月、4~5个月、5~6个月),比较不同月龄组患儿的治愈率及平均治疗时间。结果共治愈患儿468例,总治愈率92.3%,其中就诊时≤30 d的患儿治愈率最高,治疗时间最短(与其他各组比较,P<0.05);2~3个月初诊患儿治愈率与31 d^2个月初诊患儿治愈率比较,差异无统计学意义,但是治疗时间延长(P<0.05)。初诊年龄>3个月后,年龄越大,治愈率越低,治疗时间越长(P<0.05)。结论 "十"字形封脐新方法治疗婴幼儿脐疝疗效确切,越早治疗,治愈率越高,治疗时间越短。

[Objective] To explore the perfect timing of early treatment in umbilical hernia, evaluate effectiveness of ‘＋＇ cross strapping in the treatment of infantile umbilical hernia. [Methods] The clinical data of 507 patients with umbilical hernia were divided into 6 groups according to their ages at entering the hospital （≤30d; 31d-2m; 2m-3m; 3m-4m; 4m-Sin; 5m-6m）. All patients were treated with nonoperative treatment of ‘＋＇ cross strapping. The recovery rates, time of treatment were compared between 6 groups. [Results] The total recovery rate was 92.3%. The recovery rate was 97.8% in the group with patients less than 30 days, significantly higher that from other groups. Time of treatment in the group aged 2 m- 3 m was significantly longer than the group aged 1 m- 2 m （P〈0.05）. After the 3 months old, the older the age, thelower the recovery rate. [Conclusion] ‘＋＇ cross band is effective for treating umbilical hernia. Most umbilical hernia can be cured if detected and treated early, the earlier the treating began, the higher the healing rate.