Department of Pediatric Surgery, Children's Hospital and Regional Medical Center, University of Nebraska College of Medicine, 8200 Dodge, Omaha, NE 68114, USA.
Surg Clin North Am. 2012 Jun;92(3):487-504, vii. doi: 10.1016/j.suc.2012.03.017.
Pediatric inguinal hernias are extremely common, and can usually be diagnosed by simple history taking and physical examination. Repair is elective, unless there is incarceration or strangulation. Hydroceles are also quite common, and in infancy many will resolve without operative intervention. Undescended testicles harbor an increased risk of infertility and malignancy, and require orchiopexy in early childhood.
小儿腹股沟疝极为常见,通常可通过简单的病史采集和体格检查进行诊断。除非发生嵌顿或绞窄,否则可选择择期手术治疗。鞘膜积液也很常见,许多婴儿的鞘膜积液在不进行手术干预的情况下会自行消退。隐睾会增加不孕和恶变的风险,因此需要在幼儿期进行睾丸固定术。