小儿腹股沟嵌顿疝手法复位临床探讨  

Clinical study on technique diaplasis of incarcerated hernia in children

作　　者：胡小华[1] 李政[1] 

机构地区：[1]中山市博爱医院小儿外科,广东中山528400

出　　处：《小儿急救医学》2005年第4期295-297,共3页Pediatric Emergency Medicine

摘　　要：目的探讨小儿腹股沟嵌顿疝手法复位的方法、适应证及禁忌证。方法选取嵌顿时间小于12h(婴儿)或12～24h(幼儿)、一般情况好者246例,试行手法复位。患儿仰卧、臀部软枕垫高30°～40°,屈髋、屈膝,家属(或助手)固定患儿上下肢。术者坐(或立)于患儿右侧,左手四指固定内环处,右手四指于疝囊底部向腹股沟管方向挤压,吸气时持续均匀用力,同时左手放松(不离开皮肤)。呼气时右手停止用力,左手固定内环,以防回纳肠管再次突出。结果246例复位成功235例,占95.6%。结论只要掌握复位适应证及禁忌证,手法正确,小儿腹股沟嵌顿疝手法复位成功率高、安全性好。Objective To explore the method, indication, and contraindication of technique diaplasis of incarcerated hernia in children. Methods 246 cases （231 male and 15 female） of incarcerated hernia within 12 hours （〈1year） and 12-24 hours（1-3years） whose general condition were good were enrolled. The patients were on back, padded up 30°-40° by buttocks, and were asked to hip flexion genuflect. Assistants helped to fix the children＇s limbs. The doctor sat at the right side of the patient, four fingers of left hand fixuped the abdominal inguinal ring, four fingers of right hand made extrusion towards the inguinal canal, keeping extrusion when the patient inspiration with the left hand relaxing, but did not leave the skin, and stopped extrusion when the patient expiration with the left hand fixuped the abdominal inguinal ring to avoid the intestines extruding again. Results 235 cases （95.6% ）were cured by technique diaplasis. Conclusion Technique diaplasis is successful and safe if only we master the indication and eontraindication and with the right method.

关 键 词：小儿 腹股沟嵌顿疝 手法复位 

分 类 号：R726.5[医药卫生—儿科]