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題 名 | 臺灣中部地區小兒鼠蹊疝氣之治療經驗 |
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作 者 | 吳坤煥; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 19:3 1986.07[民75.07] |
頁 次 | 頁241-249 |
分類號 | 417.62491 |
關鍵詞 | 小兒鼠蹊疝氣; |
語 文 | 中文(Chinese) |
中文摘要 | 自民國60年起民國73年止之14年間,省立台中醫院外科與台中市第一外科診所接受小兒鼠蹊疝氣病例1230人,共手術1277次。就其病歷資料及問卷資料統計分析結果得知過半數在3歲以下接受手術,而7個月至滿週歲前最多。因崁頓而接受緊急手術者占20%,其中大部分(80%)在2歲以下,而7個月至滿週歲前者最多,約28%。緊急手術比例早年高達41%,近年來則減至9.9%。男多女少,主例為7:1。右側,左側,兩側疝氣之比例為3:2:1。單側手術後對側再現疝氣者有8.32%。所有年齡之兒童均有對側再現之可能,但7個月至滿週歲前發生率最高。單側疝氣手術後最早者5日,最久者8年後對側再現疝氣,而1年以內再現者53%,2年以內再現者72%。Ketalar是最主要的麻醉劑。修補手術術式有3:單純高位結紮(high ligation),Furguson氏法及Bassini氏法。疝氣術後同側再發者2例(0.15%)。手術後死亡有3例(0.23%),均屬緊急手術例。手術之最適當時期為7個月至滿週歲。單側疝氣病例不應該常規地施行對側探查手術,但未滿2歲,左側疝氣,特別是女孩,或對側精索有肥大病例可施行選擇性對側探查手術。 |
英文摘要 | 1,230 inguinal hernia patients under the age of 12 received 1,277 operations at Povincial Taichung Hospital and Taichung First Surgical Clinic between 1971 and 1984. More than half (51.83%) of the patients received surgery before the age of 3, and the greatest number of patients were between 7 and 12 months of age. Emergency operation for incarceration occupied 20% of this series; most of them (80.25%) were under age of 2 and the largest number was again between 7 and 12 months or about 28%. In the earlier years, emergency operation was as high as 41%,but decreased to 9.9% in later years. Male to female ratio was 7:1. The ratio of right to left to bilateral was 3:2:1. The incidence of sequential hernia was 8.32%. Sequential hernia is a possible development in all age groups, but is most common between age seven months and one year. Sequential hernia developed as early as five days after unilateral herniorrhaphy and as late as eight years. Fifty-three percent developed within the fust post-operative year and 72% within two. Ketalar was the anesthetic agent of choice. The three mehtods used in repairing hernia were: high ligation, Furguson's method and Bassini's method. There were two cases of recurrent hernia (0.15%) and three of mortality (0.23%), all in the group undergoing emergency operations. Thc most appropriate age for operation is considered to be between 7 and 12 months of age. Contralateral exploratory surgery should not be done routinely, but can be used selectively in those under two years, with left sided hernia, and especial1y in females or those with hypertropic spermatic cord. |
本系統中英文摘要資訊取自各篇刊載內容。