小儿里脱疝：临床情况
Littre hernia in children: A clinical aspect.
作者信息
Bakal Ünal, Tartar Tugay, Saraç Mehmet, Kazez Ahmet
机构信息
Department of Pediatric Surgery, Fırat University School of Medicine, Elazığ, Turkey.
出版信息
Turk J Gastroenterol. 2019 Jan;30(1):101-104. doi: 10.5152/tjg.2018.18228.
BACKGROUND/AIMS: Littre hernia (LH) is difficult to distinguish from other hernias until complications arise. In this research, we present the details of diagnosis, treatment, and frequency of LH cases with differentiated clinical properties.
MATERIALS AND METHODS
Littre hernia prevalence, clinical properties, and treatment details of cases diagnosed as incarceration/strangulation (I/S) of hernias between December 1996 and December 2017 were retrospectively investigated.
RESULTS
Incarceration/strangulation was detected in 403 out of 3758 hernias within 21 years. Four cases were detected as LH (0.09%) in 403 I/S patients. Partly reduced 2 cases were treated by resection/anastomosis with the abdominal approach.
CONCLUSION
The possibility of LH in strangulated or partly reduced hernias should be considered. The abdominal approach may be necessary in nonreducible hernia with possible LH patients.
背景/目的：直到出现并发症，里脱疝（LH）才难以与其他疝相区分。在本研究中，我们呈现了具有不同临床特征的LH病例的诊断、治疗细节及发生频率。
材料与方法
回顾性调查1996年12月至2017年12月期间诊断为疝嵌顿/绞窄（I/S）的病例的里脱疝患病率、临床特征及治疗细节。
结果
21年间，在3758例疝中检测到403例嵌顿/绞窄。在403例I/S患者中，有4例被检测为LH（0.09%）。2例部分回纳的病例采用经腹途径行切除/吻合术治疗。
结论
对于绞窄性或部分回纳性疝，应考虑里脱疝的可能性。对于可能为LH患者的不可回纳疝，经腹途径可能是必要的。
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