Radcliffe G, Stringer M D
Department of Paediatric Surgery, United Leeds Hospital Trust, UK.
Br J Surg. 1997 Jan;84(1):58-60.
Femoral hernias are rare in children, accounting for fewer than 1 per cent of all paediatric groin hernias. Misdiagnosis is common and a source of complications. There is no consensus on the age and sex distribution or the optimum method of repair.
A personal experience of four children with femoral hernia is reported together with an institutional review of a further ten hernias encountered during the past 11 years.
Peak incidence was between 5 and 10 years of age. Misdiagnosis was common, partly because of the variability in presenting symptoms and signs. In this series, boys were more commonly affected but a literature review indicated a similar sex incidence.
A femoral hernia should be positively excluded if the operative findings at inguinal exploration are inconsistent with the preoperative signs and in any child with a suspected recurrent inguinal hernia. Excision of the sac and repair of the femoral canal is curative.
小儿股疝罕见，占所有小儿腹股沟疝的比例不到1%。误诊很常见，且是并发症的一个来源。关于年龄和性别分布以及最佳修复方法尚无共识。
报告了4例小儿股疝的个人经验，并对过去11年中遇到的另外10例疝进行了机构回顾。
发病高峰年龄在5至10岁之间。误诊很常见，部分原因是症状和体征表现的变异性。在本系列中，男孩更常受累，但文献回顾显示性别发病率相似。
如果腹股沟探查的手术结果与术前体征不一致，以及任何疑似复发性腹股沟疝的儿童，都应积极排除股疝。切除疝囊并修复股管可治愈。
