[小儿滑动性腹股沟疝]
[Sliding ingvinal haernias in children].
作者信息
Solov'yov A E, Laricheva O V, Kulchitskiy O A
机构信息
Pavlov Ryazan State Medical University of Russian Ministry of Health, Ryazan, Russia.
出版信息
Khirurgiia (Mosk). 2017(6):51-54. doi: 10.17116/hirurgia2017651-54.
AIM
To study the features of diagnosis and treatment of children with sliding inguinal hernias.
MATERIAL AND METHODS
30-year experience of treatment of 19 boys with sliding inguinal hernia and 1 boy with bilateral sliding femoral hernia was analyzed.
RESULTS
14 out of all children with inguinal and femoral hernia admitted with the diagnosis of incarcerated inguinal hernia. Accurate diagnosis was established during the operation as a rule. Surgical treatment of sliding hernias in children presents some difficulties. Intraoperative injury of bladder was observed in 2 children with sliding inguinal hernia. All children with sliding hernias have recovered after surgery.
CONCLUSION
Sliding inguinal hernia in children are rare, sliding femoral hernia is even rarer. In most cases children with sliding inguinal hernias are diagnosed with incarcerated inguinal hernia. Colon and bladder as the elements of sliding inguinal hernias remain viable after infringement.
目的
研究小儿滑动性腹股沟疝的诊治特点。
材料与方法
分析了19例男孩滑动性腹股沟疝和1例双侧滑动性股疝30年的治疗经验。
结果
所有腹股沟疝和股疝患儿中，14例以嵌顿性腹股沟疝入院诊断。通常在手术中确立准确诊断。小儿滑动疝的手术治疗存在一些困难。2例滑动性腹股沟疝患儿术中观察到膀胱损伤。所有滑动疝患儿术后均康复。
结论
小儿滑动性腹股沟疝罕见，滑动性股疝更罕见。大多数情况下，滑动性腹股沟疝患儿被诊断为嵌顿性腹股沟疝。结肠和膀胱作为滑动性腹股沟疝的组成部分在受压后仍能存活。
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