女性婴幼儿腹股沟卵巢嵌顿斜疝一例报告  

Incarcerated indirect ovarian inguinal hernia in female infants:a case report

作　　者：林艺霞 林绥斌 Lin Yixia;Lin Suibin(Department of Obstetrics and Gynecology,Zhangpu County Hospital,Zhangpu 363200,China)

机构地区：[1]漳浦县医院妇产科,漳浦363200

出　　处：《新医学》2020年第9期724-726,共3页Journal of New Medicine

摘　　要：卵巢疝常见于婴幼儿,属于婴幼儿急症,因症状及体征不典型,容易误诊和漏诊。该文报道1例婴幼儿卵巢疝病例,患儿2岁,因“家属发现其左侧腹股沟肿物伴疼痛2 d”入院。主诊医师根据其临床症状及彩色多普勒超声检查诊断为左侧嵌顿性腹股沟斜疝(左卵巢嵌顿疝?),明确无手术禁忌证后及时实施左侧嵌顿性腹股沟斜疝松解+修补术,术程顺利,术中成功保留患儿卵巢,术中诊断为左侧嵌顿性腹股沟斜疝(左卵巢嵌顿疝)。婴幼儿腹股沟斜疝易发生嵌顿,女性患儿嵌顿内容物可能为卵巢,卵巢嵌顿坏死对女性影响极大,因此,早期诊断、及时手术,安全有效地保留卵巢极为重要。Ovarian hernia mainly occurs in infants,which is considered as an infant emergency.It is likely to misdiagnose or miss the diagnosis due to atypical symptoms and signs.In this article,one female 2-year-old infant diagnosed with ovarian hernia was reported.She was admitted to Zhangpu County Hospital due to“left groin tumor complicated with pain”for 2 d.According to clinical symptoms and color Doppler ultrasound,she was diagnosed with left incarcerated indirect ovarian inguinal hernia.After no contraindication was found,left incarcerated indirect ovarian inguinal hernia was successfully separated and repaired.The ovary was successfully preserved intraoperatively.She was diagnosed with left incarcerated indirect ovarian inguinal hernia.Infants with indirect inguinal hernia are prone to incarceration,which could be the ovaries in the female infants.Ovarian incarceration and necrosis significantly affect the female.Therefore,it is extremely important to deliver early diagnosis and timely surgery to preserve the ovary safely and effectively.

关 键 词：婴幼儿 腹股沟肿物 卵巢疝 保留卵巢 

分 类 号：R726.5[医药卫生—儿科]