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目的比较小儿腹股沟斜疝的手术及非手术疗效,观察小儿腹股沟疝术后对睾丸发育的影响。方法经临床及超声检查诊断为腹股沟斜疝患儿300例,其中150例患儿行腹股沟斜疝疝囊高位结扎术;另150例患儿保守治疗(补中益气丸加敦煌272脐密带),12例治疗无效后转手术治疗,其中5例发生嵌顿而行急诊手术。所有患儿治疗后6个月随访。治疗前后对比2组患侧睾丸的位置、大小、睾丸动脉收缩期最大流速。结果手术组术后复发5例,非手术组术后复发8例。小儿腹股沟斜疝的手术及非手术治疗疗效差异无统计学意义(P>0.05)。但是疝囊高位结扎术与非手术治疗比较,术后6个月前者对患儿的睾丸体积、血流影响较大(P<0.05)。结论小儿腹股沟斜疝手术与非手术治疗的疗效差异虽然无统计学意义,但前者对患儿睾丸体积和血流量影响较大。
Objective To compare the surgical and non-surgical curative effect of inguinal hernia in children and observe the influence of groin hernia on the development of testis. Methods 300 cases of inguinal indirect hernia were diagnosed by clinical and ultrasonographic examination. Among them, 150 cases were treated with high inguinal hernia sac ligation. Another 150 cases received conservative treatment (Buzhong Yi Qi Wan plus Dunhuang 272 umbilical cord ). Twelve cases were treated by surgery after the treatment was ineffective. Among them, 5 cases had incarcerated and underwent emergency surgery. All children were followed up 6 months after treatment. Contrast before and after treatment in 2 groups of ipsilateral testis position, size, testicular artery systolic maximum flow rate. Results The operation group recurred in 5 cases and the non-operation group recurred in 8 cases. There was no significant difference between the surgical treatment of non-surgical treatment of inguinal hernia in children (P> 0.05). However, high ligation of hernia sac compared with non-surgical treatment, 6 months after surgery on the children’s testicular volume and blood flow greater impact (P <0.05). Conclusion Although there is no statistical difference in the efficacy of surgical treatment of non-surgical inguinal hernia in children, the former has a significant effect on the testicular volume and blood flow in children.