Reimers J I, Latocha J E
Department of Paediatric Surgery, Rigshospitalet, Copenhagen, Denmark.
Dev Med Child Neurol. 1990 Dec;32(12):1058-60. doi: 10.1111/j.1469-8749.1990.tb08523.x.
The incidence of inguinal hernia among 247 children with cerebral palsy was ascertained. During the first year of life, 20 of the 153 boys developed hernia, as did one of the 94 girls. Among boys with birthweights of 1000 to 2000g the incidence was 31 per cent, which is twice the rate for normal children. The incidence among boys with birthweights greater than 2000g was 8 per cent. A comparison group could not be found, but this incidence appears to be excessive, considering the reported normal incidence of 1 to 4 per cent in boys. The authors recommend routine examination for inguinal hernia, particularly for boys with birthweights less than 2000g and with spastic tetraplegia. Conversely, one should be alert to the possibility of concurrent spasticity in preterm males with inguinal hernia.
确定了247名脑瘫患儿腹股沟疝的发病率。在出生后的第一年，153名男孩中有20名患疝，94名女孩中有1名患疝。出生体重在1000至2000克之间的男孩中，发病率为31%，是正常儿童发病率的两倍。出生体重大于2000克的男孩中，发病率为8%。未能找到对照组，但考虑到报道的男孩正常发病率为1%至4%，这一发病率似乎过高。作者建议对腹股沟疝进行常规检查，尤其是对出生体重小于2000克且患有痉挛性四肢瘫的男孩。相反，对于患有腹股沟疝的早产男性，应警惕并发痉挛的可能性。
