De Caluwé D, Chertin B, Puri P
Children's Research Centre, Our Lady's Hospital for Sick Children, University College Dublin, Crumlin, 12 Dublin, Ireland.
Pediatr Surg Int. 2003 Oct;19(8):608-9. doi: 10.1007/s00383-003-1060-z. Epub 2003 Sep 2.
Femoral hernia is a rare surgical entity in the paediatric age group. The diagnosis is still a challenging issue. The aim of our study was to review our experience with femoral hernias in children during the past 21 years. We reviewed retrospectively the medical records of all patients who underwent femoral hernia repair in our institution between 1980 and 2000. Thirty-eight children (20 females, 18 males) with the median age of 5.5 years underwent 42 femoral hernia repairs over a 21-year period. Correct preoperative diagnosis was obtained in 20 (53%) cases. Of the 18 (47%) misdiagnosed cases, 11 were found to have a femoral hernia at negative exploration for a clinically diagnosis of inguinal hernia and 7 were found to have a femoral hernia 1 week to 18 months (mean 2.5 months) post repair of a presumed inguinal hernia. Median follow-up time was 12 years (range, 6 months-22 years). Recurrent femoral hernias occurred in five (13%) patients 6 months to 3 years (mean 13.5 months) after initial hernia repair. This study shows that femoral hernia is still a commonly misdiagnosed condition. A correct preoperative diagnosis will lead to appropriate surgical management, thus avoiding unnecessary morbidity and preventing unnecessary reoperations.
股疝在儿童年龄组中是一种罕见的外科疾病。诊断仍然是一个具有挑战性的问题。我们研究的目的是回顾过去21年我们在儿童股疝方面的经验。我们回顾性地查阅了1980年至2000年间在我们机构接受股疝修补术的所有患者的病历。38名儿童（20名女性，18名男性），中位年龄5.5岁，在21年期间接受了42次股疝修补术。20例（53%）获得了正确的术前诊断。在18例（47%）误诊病例中，11例在对临床诊断为腹股沟疝进行阴性探查时发现为股疝，7例在假定腹股沟疝修补术后1周至18个月（平均2.5个月）发现为股疝。中位随访时间为12年（范围6个月至22年）。5例（13%）患者在初次疝修补术后6个月至3年（平均13.5个月）出现复发性股疝。这项研究表明，股疝仍然是一种常被误诊的疾病。正确的术前诊断将导致适当的手术管理，从而避免不必要的发病率并防止不必要的再次手术。
