63例新生儿嵌顿疝治疗的体会

【目的】探讨新生儿腹股沟嵌顿疝的最佳治疗手段。【方法】63例新生儿嵌顿疝行手法复位46例,手术治疗24例。【结果】46例手法复位成功39例,成功率84．8％。24例手术治疗全部治愈,7例手法复位失败后急症手术,6例治愈,1例麻醉后自行复位。【结论】嵌顿性腹股沟疝处理方法分为手法复住和手术治疗。如未出现手法复位禁忌证,新生儿期嵌顿疝可以首选手法复位治疗。

Treatment of Incarcerated Hernia in 63 Newborns

[Objective] To explore the best treatment method of incarcerated hernia in newborn. [Methods] The clinical data of 48 cases of newborn incarcerated hernia were analyzed from 2005 to 2008. Thirty nine cases were treated by manipulative reduction and 24 cases were treated by operation. Seven cases after the fail ure of manipulative reduction received emergency operation. One case had self reduction under anesthesia. [Results] Thirty nine cases （61.9 %） were treated successfully by manipulative reduction. [Conclusion] Incarcerated hernia is common in pediatric surgical emergency. The management of this disease includes manipulative reduction and operation. Manipulative reduction is the first choice for treating newborn incarcerated hernia if no contraindication appears.