Tonosaki Kanata, Suzuki Yuki, Yonenaga Kazumichi, Tomimoto Kazuhiko, Yuzawa Kentaro, Oku Shiori, Eto Shuji
Department of Pediatrics Misawa City Hospital Aomori Japan.
Department of General Medicine Towada City Hospital Aomori Japan.
J Gen Fam Med. 2023 May 15;24(4):223-230. doi: 10.1002/jgf2.626. eCollection 2023 Jul.
Compression therapy using compression material is often used for umbilical hernias in infants; however, there are problems regarding its use, such as appearance and cost. In our hospital, we use the tape fixation method without compression materials. We report the effectiveness of this method, its significance in measuring the degree of hernia bulge before treatment, and parent satisfaction with the treatment.
We analyzed 77 cases of umbilical hernias (41 boys and 36 girls, mean age 52.7 ± 18.3 days) that were treated with the tape fixation method at the Department of Pediatrics of our hospital. Hernia size was classified based on the height of the bulge: mild (<1 cm), moderate (1≦ and <3 cm), or severe (>3 cm). Treatment duration was compared between the groups using the Steel-Dwass test. After the treatment, a questionnaire was mailed to the parents to assess the treatment satisfaction.
Seventy-three patients (94.8%) achieved closure of the hernia orifice, with no excess skin and a well-shaped umbilicus. The duration of treatment was significantly shorter, with the following order: mild (18.5 ± 8.2 days), moderate (25.0 ± 11.9 days), and severe cases (47.8 ± 11.7 days). According to the questionnaire, 97.5% of the parents were satisfied with the treatment.
Our tape fixation method without compression material achieved a high closure rate and a good shape of the umbilicus. In addition, we noted that the height of the hernia bulge can be used as a guide to estimate the duration of treatment.
使用加压材料的压迫疗法常用于婴儿脐疝；然而，其使用存在外观和成本等问题。在我院，我们采用不使用加压材料的胶带固定法。我们报告了该方法的有效性、治疗前测量疝突出程度的意义以及家长对治疗的满意度。
我们分析了我院儿科采用胶带固定法治疗的77例脐疝患儿（41例男孩，36例女孩，平均年龄52.7±18.3天）。根据突出高度对疝大小进行分类：轻度（<1厘米）、中度（1≤且<3厘米）或重度（>3厘米）。使用Steel-Dwass检验比较各组的治疗持续时间。治疗后，向家长邮寄问卷以评估治疗满意度。
73例患者（94.8%）疝孔闭合，无多余皮肤，脐部形状良好。治疗持续时间明显更短，顺序如下：轻度（18.5±8.2天）、中度（25.0±11.9天）和重度病例（47.8±11.7天）。根据问卷，97.5%的家长对治疗满意。
我们不使用加压材料的胶带固定法实现了高闭合率和良好的脐部形状。此外，我们注意到疝突出高度可作为估计治疗持续时间的指导。
