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婴幼儿Amyand疝的临床分析

张刚 刘丹丹

临床小儿外科杂志2013,Vol.12Issue(1):55-57,3.
临床小儿外科杂志2013,Vol.12Issue(1):55-57,3.DOI:10.3969/j.issn.1671-6353.2013.01.017

婴幼儿Amyand疝的临床分析

Clinical study of Infant Amyand's Hernia.

张刚 1刘丹丹1

作者信息

  • 1. 山东省济宁医学院附属医院小儿外科,山东省济宁市,272029
  • 折叠

摘要

Abstract

Objetive To explore the clinical fealure, diagnosis and Irealmenl of Infanl Amyand' s Hernia. Methods Relrospeclively analyze the diagnosis and Irealmenl process of 21 cases of Infanl Amyand' s Hernia. Results The incidence rale of Infanl Amyand' s Hernia was 1. 29% , righl or lefl. The symptom was swilling of inguinal region( 19 cases) , ealy gastrointestinal reaclion( 11 cases) , systemic signs of infection( 20 cases) . 12 cases were made preoperative diagnosis through Color Doppler Ultrasound. 14 cases of typel, 3 cases of type2, 3 cases of type3, and 1 case of type4 Amyand' s Hernia were made intraoperative diagnosis. 15 cases were detected Escherichia coli by bacterial culture. All cases were healed after indirect inguinal incision appendectomy. Relapse was free by follow-up. Conclusion Infant has a higher incidence of Amyand' s Herni-a, and has early gastrointestinal reaction and systemic symptoms. Color Doppler Ultrasound has diagnostic value. The incison may be polluted by Escherichia coli. Infant Amyand' s Hernia may be regarded as a special type appendicitis. By the original indirect hernia incision appendectomy is effective treatment method.

关键词

疝,腹股沟/诊断/疝,腹股沟/外科学/婴儿

Key words

Hernia Inguinal/DI/ Hernia Inguinal/SU/ Infant

引用本文复制引用

张刚,刘丹丹..婴幼儿Amyand疝的临床分析[J].临床小儿外科杂志,2013,12(1):55-57,3.

临床小儿外科杂志

1671-6353

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