小儿嵌顿性腹股沟斜疝与睾丸坏死

本文通过临床和尸检资料说明婴幼儿嵌顿性腹股沟斜疝并发睾九坏死的临床表现及解剖基础。从而提出婴幼嵌顿性腹股沟斜疝治疗意见:(1)嵌顿时间在12小时以上、局部张力大、红肿者应积极手术治疗,以免发生睾丸坏死;(2)对嵌顿时间在20小时以上或绞窄疝,手术时应常规探查睾丸,以免遗漏;(3)对睾丸切除应慎甚从事,经处理观察确实坏死者应予切除。

INFANTILE INCARCERATED INGUINAL INDIRECT HERNIA ASSOCIATED WITH TESTICULAR NECROSIS

Through the clinical data and autopsy findings the author affords the following criteria for the treatment of infantile incareerated inguinal indirect hernia associated with testicular necroses. (1) For incarceration over 12 hours with local tenseness,redness and swelling, an operation should be performed promptly. (2) For incarceration over 20 hours or strangulated hernia, the testis should be explored routinely. (3) Handle the operation with care, only the necrotic testis should be excised.