Oudesluys-Murphy A M, Teng H T, Boxma H
Department of Paediatrics, Medisch Centrum Rijnmond-Zuid, Rotterdam, The Netherlands.
J Pediatr Surg. 2000 Aug;35(8):1220-1. doi: 10.1053/jpsu.2000.8757.
This is a prospective study of 8 clinically apparent inguinal hernias in 7 preterm infant girls.
The diagnosis was made clinically and confirmed by ultrasonography, which also showed the contents of the hernia.
One hernia contained an ovary, the other 7 intestinal loops. The hernias with only intestinal loops regressed spontaneously when the girls were between the ages of 2 and 6 months postpartum. This was confirmed by ultrasonography. At follow-up 2 to 6 years later there has been no recurrence. The hernia that contained the ovary did not regress, and hernia repair (confirming the presence of the ovary) was carried out uneventfully.
The authors suggest that preterm infant girls with an inguinal hernia should have ultrasonography performed at presentation. Surgery probably will be required when the hernia contains structures such as an ovary. When the hernia contains only intestinal loops an expectant policy may be advisable. Larger studies are needed to validate these findings.
这是一项针对7名早产女婴的8例临床明显腹股沟疝的前瞻性研究。
通过临床诊断，并经超声检查证实，超声检查还显示了疝内容物。
1例疝内含有卵巢，其他7例含有肠袢。仅含肠袢的疝在女婴产后2至6个月时自行消退。超声检查证实了这一点。在2至6年后的随访中未出现复发。含有卵巢的疝未消退，顺利进行了疝修补术（证实卵巢存在）。
作者建议，患有腹股沟疝的早产女婴在就诊时应进行超声检查。当疝内含有卵巢等结构时可能需要手术。当疝仅含肠袢时，可采取观察等待策略。需要更大规模的研究来验证这些发现。
