我国青少年腹股沟疝发病特点及诊治值得注意的问题

Characteristics of inguinal hernia in adolescents in China and the problems deserving attention in diagnosis and treatment

对于青少年的准确界定,国际上没有权威机构给出具体的年龄范围。一般认为,年龄在13~19岁。目前国内外极少有针对青少年腹股沟疝患病率的调查。青少年处于旺盛的生长发育过程中,其腹股沟疝诊治具有特殊性,治疗仍存在很大争议。针对青少年这一特殊群体的腹股沟疝病人,应该根据其具体特点,制定相应的治疗方案。术前做好详尽评估,了解有无合并特殊情况(如睾丸鞘膜积液和隐睾)。根据术前评估合理选择手术方式和修补材料,术中注意精细操作,最大限度地保护好精索血管和输精管等,避免发生并发症。视腹股沟管后壁缺损程度,考虑组织修补或使用补片给予加强。

There is no authoritative definition of adolescents in the world which is generally believed that the age ranges from 10 to 19.At present,there are few surveys on the prevalence of inguinal hernia among adolescents at home and abroad.Adolescents are in the process of vigorous growth and development,and the diagnosis and treatment of inguinal hernia is special.There is still much controversy in the treatment of inguinal hernia.In view of the special group of inguinal hernia patients,adolescents should formulate corresponding treatment plan according to their specific characteristics.Detailed preoperative evaluation should be done to find out if there were any special cases(such as hydrocele of testis and cryptorchidism).According to preoperative evaluation,reasonable surgical methods and repairing materials should be selected,carefully operate during surgery,and protect spermatic cord vessels and vas deferens to the maximum extent to avoid adverse complications.Tissue repair or patch reinforcement should be considered according to the degree of posterior inguinal canal defect.