小儿嵌顿斜疝并腹腔间隔室综合征诊疗分析

目的探讨小儿嵌顿性腹股沟斜疝并腹腔间隔室综合症(ACS)的合理诊疗措施。方法回顾性分析江西省儿童医院2005年8月至2014年7月确诊为嵌顿性腹股沟斜疝并ACS症的23例患儿的临床资料。按手术方式分为未开腹减压术组和开腹减压术组。结果 23例中,17例治愈出院(73.91%),1例囚脑瘫致残(4.35%),5例死亡(21.74%)。行开腹减压术组17例(其中治愈15例,致残1例,死亡1例);按手术方式分为未行开腹减压术组6例(其中治愈2例,死亡4例),两组预后比较,差异有统计学意义(χ~2=9.70,p0.01)。结论开腹减压术对嵌顿斜疝并ACS患儿的治疗是有效可行的。

Diagnosis and treatment of incarcerated inguinal hernia in children with abdominal compartment syn-drome

Objetive To explore the reasonable diagnosis and treatment of incarcerated inguinal hernia in children with abdominal compartment syndrome (ACS). Methods Retrospective analyses were conducted for the clinical data of 23 cases with a diagnosis of incarcerated inguinal hernia with ACS from August 2005 to July 2014. Results The outcomes were cure (n =7,73.91%),disability for cerebral palsy (n =1, 4.35%)and death (n =5,21.74%).The group of decompressive laparotomy had 17 cases (cure,n =15;disability,n =1;death,n =1)while another group of no decompressive laparotomy was 6 cases (cure,n =2;death,n =4).Statistically significant difference in prognosis existed between two groups(χ2 =9.70,P <0.01). Conclusions Decompressive laparotomy is both effective and feasible for incarcerated inguinal hernia in children with ACS.