女性婴幼儿腹股沟嵌顿疝的的特点分析及诊治体会.docVIP

女性婴幼儿腹股沟嵌顿疝的的特点分析及诊治体会 　　[摘要] 目的 探讨女性婴幼儿腹股沟嵌顿疝的临床特点和诊治体会。 方法 回顾性分析2007年1月～2015年10月间我院收治的48例女性婴幼儿腹股沟嵌顿疝手术病例的临床资料。 结果 所有患儿均进行腹股沟探查术，3例为大网膜嵌顿，7例为末段回肠或盲肠嵌顿，38例为卵巢输卵管嵌顿，其中14例发生卵巢缺血坏死。所有病例术后无斜疝复发。 结论 彩超检查对于判断女性嵌顿疝内容物及其活性有重大的临床意义，根据女性特殊的解剖结构、临床特点和疝内容物的特点，应尽量早期行手术治疗腹股沟斜疝而避免其一旦发生嵌顿所带来的严重后果。 　　[关键词] 女性；婴幼儿；腹股沟嵌顿疝；卵巢 　　[中图分类号] R726.5 [文献标识码] B [文章编号] 1673-9701（2016）17-0044-04 　　The analysis of female infants with incarcerated inguinal hernia and experience of its diagnosis and treatment 　　GONG Sheng YUAN Xiaoqi LI Yong ZHU Jianming 　　Department of Pediatric Surgery， Ningbo Women Childrens Hospital， Ningbo 315012， China 　　[Abstract] Objective To discuss the characteristics of female infants with incarcerated inguinal hernia analysis and experience of its diagnosis and treatment. Methods Retrospective analysis clinical data from Jan 2007 to Oct 2015 treated surgicalcases of 48 female infants with incarcerated inguinal hernia. Results All the infants had been done exploratory surgery of inguinal hernia， 3 cases of them were omentum incarcerated， 7 cases of them were the last ileum or appendix incarcerated， 38 cases of them were ovary and oviduct incarcerated， among these 14 cases of them had already ischemic necrosis of ovary. All the cases had no relapse of inguinal hernia after the operation. Conclusion Ultrasound has major clinical significance to judge the contents of female with incarcerated inguinal hernia and whether it is alive. According to the females special anatomical structure， clinical features and the content of inguinal hernia， it is nessary to do surgical treatment of inguinal hernia as soon as possible， to avoid serious consequences if it is incarcerated. 　　[Key words] Female； Infant； Incarceration of inguinal hernia； Ovary 　　腹股沟疝是小儿外科的常见病，不少出生后即可发现，以婴幼儿多见，男性多于女性，右侧多于左侧，单侧多于双侧。腹腔脏器进入疝囊后不能还纳而停留在疝囊内即形成腹股沟嵌顿疝，是小儿腹股沟斜疝最常见的并发症[1]。女性患儿虽然发病率低于男性，但是由于其特殊的解剖结构，疝内容物嵌顿的发生率高于男性。其内容物除了肠管、大网膜外，多为输卵管及卵巢，甚至子宫，发生嵌顿后往往出现内容物血运障碍而坏死，引起严重的后果。本文回顾性分析了本院自2007年1月～2015年10月之间我