Graf Joy L, Caty Michael G, Martin David J, Glick Philip L
Department of Pediatric Surgery, The Children's Hospital of Buffalo, NY 14222, USA.
Semin Ultrasound CT MR. 2002 Apr;23(2):197-200. doi: 10.1016/s0887-2171(02)90006-5.
Indirect inguinal hernias, hydroceles, and umbilical hernias are extremely common in infancy and childhood. Less commonly encountered are femoral, direct inguinal, epigastric, and Spigelian hernias. Patient history and physical examination are usually sufficient for the diagnosis of a hernia. If the diagnosis is uncertain, ultrasound examination or herniograms are occasionally employed. Magnetic resonance imaging may be useful in diagnosing abdominal wall hernias in obese patients for whom physical examination is difficult.
腹股沟斜疝、鞘膜积液和脐疝在婴幼儿期极为常见。股疝、腹股沟直疝、上腹疝和半月线疝则较少见。患者病史和体格检查通常足以诊断疝气。如果诊断不明确，偶尔会采用超声检查或疝造影。对于体格检查困难的肥胖患者，磁共振成像可能有助于诊断腹壁疝。
