儿童腹股沟斜疝的治疗及并发症预防

目的探讨儿童腹股沟斜疝治疗现状及并发症预防.方法总结解放军总医院2000年1月-2011年12月252例儿童腹股沟斜疝的疗效及并发症.结果本组共252例,男214例,女38例.全麻切开腹股沟管组140例,1例将膀胱作为疝囊壁切开,修补后治愈;静脉麻醉及小切口组112例,1例将股静脉作为疝囊损伤,立即行大隐静脉移植血管吻合,随访1年仍有下肢肿胀.其余250例治愈,随访1-10年无复发及并发症.结论采用腹横纹切口治疗儿童腹股沟斜疝疗效好、损伤小、恢复快,但应注意杜绝小切口及盲目钳夹操作,必要时修补腹横筋膜裂孔,以防并发症的发生.

Treatment of inguinal hernia in children and prevention of its complications

Objective To study the treatment of inguinal hernia in children and the prevention of its complications.Methods Therapeutic effect in 252 children with inguinal hernia admitted to our hospital from January 2000 to December 2011 and its complications were summarized with its related literature reviewed.Results Of the 252 patients(214 males and 38 females) included in this study,140 were cured after incision of inguinal canal under general anesthesia and 1 was cured after incision of bladder as a hernial sac,112 were cured after a small incision by intravenous anesthesia and 1 was cured after ligation of femoral vein as a hernial sac and immediate anastomosis of the implanted great saphenous vein,who had edema in the lower limb after 1 year followup.The patients were followed up for 1-10 years,during which no recurrence and complications occurred.Conclusion Abdominal transaction is rather effective for repair of inguinal hernia in children with mild injury and rapid recovery.Small incision and blind clamping should be avoided.Transversalic fascia hiatus should be repaired when necessary in order to prevent complications.