小儿腹股沟滑疝的病因、发病机理、诊断和鉴别诊断

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1、小儿腹股沟滑疝的病因、发病机理、诊断和鉴别诊断【摘要】目的探讨小儿腹股沟滑疝的病因、发病机理、诊断和鉴别诊断。方法从我院收治290例腹股沟斜疝中选収确诊滑疝13例住院资料，结合国内外文献，着重分析其病因、发病机理和诊断鉴别诊断。结果发现女婆腹股沟滑疝发病率比男婴高得多，且女婴均属卵巢、输卵管伞端滑出，男婴滑出器官均为盲肠、阑尾和/或乙状结肠。其原因除患者腹股沟内环腹膜壁层先天发育不良外，与卵巢、输卵管伞接近腹股沟内环、卵巢悬韧带和盲肠、乙状结肠系膜较活动有关。小儿腹股沟滑疝的临床表现打其他腹股沟斜

2、疝相似，易发生误诊。结论小儿腹股沟滑疝是山于腹股沟内环先天性发育不良和腹腔内较活动的器官滑出所致。临床表现与-•般常见的腹股沟斜疝相似，必须仔细鉴别。从具病因发病方面加以考虑，有助于明确诊断。【关键词】小儿；腹股沟滑疝；病因；发病机理；诊断；鉴别诊断Theetio-pathogenesis,diagnosisanddifferentialdiagnosisofinguinalextrasaccularherniaininfants【Abstract]ObjectiveTostudytheetiop

3、athogenisis,diagnosisanddifferentialdiagnosisofinguinalextrasaccularherniaininfants.Methods13casesofinguinalextrasaccularherniaoutof290casesofinguinalherniainourhospitalwereinvestigatedwithreferatingtheleterture,andfocusedtheattentiononitsctidogy,path

4、ogenisisanddiagnosis,differentialdiagnosis.ResultsTorevealthattheincidenceofinguinalextrasaccularheruiainfemalinfantswasmuchmorethanthatinmaleinfants,andtheslidingsubstanceofextrasaccularherniawereovaryandfallopiantubeinfemalinfantsandcecum,appendixan

5、dsigmoidinmaleinfants.andtheligmentasuspersoriumorariiandmesenteryofcecumandsigmoidmovedmoreeasily.Itsetiopathogenesishadrelationtothattheovaryandfallopiantubeapproachedtheinguinalinnercircleandthemesenteryofcecumandsigmoidmovedmoreeasily.Theclinicalf

6、eaturesofinguinalextrasaccularherniaweresimilartootheringuinalobliquehernia,sothatmisdiagnosiswaseasilymade.ConclusionInguinalextrasaccularherniasininfantswereduetocongenitaldysplasiaofinguinalinnercireleandmovableorgansinabdominalcavityslidedfromabdo

7、minalcavity.Itsclinicalfeaturesweresimilartogeneralinguinalobliqueherniaandthatmustcarefulbedistinguished.Considerationforitsetiopathogenesiscanhelptomakecorrectdiagnosis.【Keywords]infants;inguinalextrasaccularhernia;etio-pathogenesis;diagnosis;differ

8、entialdiagnosis腹股沟滑疝是腹股沟疝的一种特殊类型，发病率相当低，发病机理尚不十分明确，术前不易诊断，手术处理与其他腹股沟斜疝有所不同。鉴于此我们收集这方面的病例病因和文献资料，对具病因、发病机理、诊断和鉴别诊断进行分析研究。1对彖与方法从我院2002年1月〜2005年2月收治小儿腹股沟斜疝290例中选取腹股沟滑疝13例的临床病历资料，并查阅国内外有关文献，着重对小儿腹股沟滑疝的病因、发病机理、诊断和鉴别诊断进行分析研究。2结果2.1临床主要表现同期收治小儿腹股沟斜疝