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小儿隐匿性腹股沟斜疝又称为小儿隐性疝,是小儿腹股沟斜疝的一种特殊表现,由于鞘状突未闭或疝囊较小,腹腔内组织不能突入腹股沟管形成肿块,临床上无任何不适症状,因而易延误治疗。若不及时诊治,待发展到症状体征明显时被迫再次手术,易引起不必要的医疗纠纷。目前,绝大多数小儿隐匿性腹股沟斜疝是手术探查时发现的,尤其是在腹腔镜广泛应用之后。现主要从诊断与治疗方面对近年来小儿隐匿性腹股沟斜疝的研究进展作一综述。
Obstructive inguinal hernia in children, also known as pediatric hernia, is a special manifestation of inguinal hernia in children, due to hernia or hernia sac is small, intraperitoneal tissue can not protrude into the inguinal duct to form a mass, no clinical Any unpleasant symptoms, and therefore easy to delay treatment. If not timely diagnosis and treatment, to be developed to the symptoms and signs were forced to re-surgery, easily lead to unnecessary medical disputes. Currently, the vast majority of children with hidden inguinal hernia is found during surgical exploration, especially after extensive use of laparoscopy. The research progress of occult inguinal indirect hernia in children in recent years is reviewed mainly from diagnosis and treatment.