[1]陈晨,朱鸿喜,明葛东,等. 儿童Amyand′s疝14例诊治分析[J].临床小儿外科杂志,2019,18(01):59-62.
　Chen Chen,Zhu Hongxi,Ming Gedong,et al. Clinical analysis of Amyand′s hernia in children:a report of 14 cases.[J].Journal of Clinical Pediatric Surgery,2019,18(01):59-62.
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 儿童Amyand′s疝14例诊治分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第18卷 期数: 2019年01期 页码: 59-62 栏目: 论著 出版日期: 2019-01-20
Title:
 Clinical analysis of Amyand′s hernia in children:a report of 14 cases.
作者:
 陈晨; 朱鸿喜; 明葛东; 等
 江苏省盐城市妇幼保健院
Author(s):
 Chen Chen; Zhu Hongxi; Ming Gedong; Dai Wenwen; Meng Decheng.
 Department of Pediatric Surgery,Yancheng Maternity & Childrens Hospital,Yancheng 224001,China.
关键词:
 ; 儿童;  Amyand′s疝;  阑尾切除术
Keywords:
 ; Child;  Amyand′s Hernia;  Appendectomy
文献标志码:
A
摘要:
 目的探讨儿童Amyand′s疝的临床特点和治疗方法。方法回顾性分析江苏省盐城市妇幼保健院儿外科自2008年1月至2018年1月收治的14例Amyand′s疝患儿的临床资料（包括性别、年龄、首发症状、实验室检查结果、影像学结果、手术方式及预后情况等），并对上述资料进行整理分析。结果14例中,男12例，女2例；年龄2个月至6岁5个月；其中12例表现为腹股沟区难复性包块，9例表现为呕吐，5例表现为发热；12例出现白细胞升高；10例腹部立位X线片提示肠梗阻；5例彩超检查提示混合性包块，2例提示条索状回声，1例可见阑尾“双边”影；均予急诊手术治疗。2例为择期手术病例，均于术中探查确诊。4例单纯行疝囊高位结扎术,10例行“阑尾切除术+疝囊高位结扎术”。术后病理检查结果提示阑尾无明显改变2例，急性单纯性阑尾炎4例，急性化脓性阑尾炎1例，坏疽性阑尾炎1例，慢性阑尾炎2例；均痊愈出院，随访无一例复发。结论儿童Amyand′s疝临床上较为罕见。增强对本病的认识、必要时积极手术探查是减少误诊、漏诊及提高治愈率的关键。术中应根据患儿具体情况，选择合适的手术方式。
Abstract:
 ObjectiveTo explore the clinical features and treatment options of Amyand′s hernia (AH).MethodsClinical records were reviewed for 14 AH children from January 2008 to January 2018（Including gender,age,initial symptoms,laboratory findings,imaging findings,surgical procedures,prognosis,etc）,then organize and analyze the above data.ResultsThere were 12 boys and 2 girls aged from 2-77 years.The clinical symptoms were swelling of inguinal region (n=12),vomiting (n=9) and fever (n=5).There were leucocytosis (n=12),radiographic evidence of intestinal obstruction (n=10) and abnormal findings of color Doppler ultrasonography (n=5).Hernia repair without an appendectomy was performed in patients with normal appendix while emergency appendectomy through herniotomy for infamed and perforated appendices.The pathological examinations of specimens indicated acute appendicitis (n=4),suppurative appendicitis (n=1),gangrenous appendicitis (n=1) and chronic appendicitis (n=2).There was no recurrence during followups.ConclusionFor such a rare disease as Amyand′s hernia,treatment of type I Amyand′s hernia is the same as incarcerated hernia while types Ⅱ and Ⅲ undergo appendectomy through herniotomy.

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更新日期/Last Update: 2019-01-22