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小儿腹股沟斜疝手术的医源性损伤19例分析
引用本文:王洲,高云生.小儿腹股沟斜疝手术的医源性损伤19例分析[J].山西职工医学院学报,2004,14(3):10-11.
作者姓名:王洲  高云生
作者单位:山西省阳泉市第三人民医院,山西,阳泉,045000
摘    要:目的:借鉴小儿腹股沟斜疝手术的思源性损伤教训并提出防治办法。方法:回顾性分析1995年1月至2004年1月间行小儿腹股沟斜疝手术时医源性损伤的19例患者的临床资料。结果:除9例睾丸萎缩,门诊治疗有改善,其余损伤在手术中行相应处理后痊愈出院。结论:手术操作失误是医源性损伤的主要原因,嵌顿疝急诊手术时则更容易发生损伤:熟悉小儿腹股沟区解剖,掌握手术原则及认真细致的手术操作是避免医源性损伤的关键。

关 键 词:小儿  嵌顿疝  急症  手术损伤
文章编号:1671-0126(2004)03-0010-02

Analysis of 19 Cases of Iatrogenic Injury in Child Indirect Inguinal Hernia Surgery
WANG Zhou,GAO Yun-sheng.Analysis of 19 Cases of Iatrogenic Injury in Child Indirect Inguinal Hernia Surgery[J].Journal of Shanxi Medical College For Continuing Education,2004,14(3):10-11.
Authors:WANG Zhou  GAO Yun-sheng
Abstract:Objective:To use experience in iatrogenic injury in child indirect inguinal hernia surgery,and to come up with some ways of the prevention and treatment.Methods:Retrospective analysis was made of 19 cases of iatrogenic injury in child indirect inguinal hernia surgery from Jan.1995 to Jan.2004.Results:Improved outpatient treatment at the late stage was observed in 9 cases of atrophy of testis;the other injury was given symptomatic management,cured,and discharged from hospital.Conclusion:Wrongly performed operation technique was mainly responsible for iatrogenic injury.Injury occurs more easily during incarcerated hernia emergency operation.To avoid iatrogneic injury,it is crucial that doctors should have good knowledge of anatomy of child inguinal region,command operation principles,and perform operation technique carefully.
Keywords:child  incarcerated hernia  emergency  operative injury
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