What is an inguinal hernia?
当腹壁出现开口时，存在疝气，囊通过该囊通过腹腔通过腹壁突出。在小儿患者中，通常是先天性异常，而不是出生后出现的东西。
在成年人中，这些可能来自腹壁的渐进性，但这在婴儿，儿童或青少年中是不正确的。如果腹股沟区域（腹部和腿部顶部之间的折痕）或阴囊中有软凸起，则会显而易见。
腹股沟区域发生的疝气称为腹股沟区域。可以通过此开口推动腹部内容的一部分，例如肠道。腹股沟疝发生在所有儿童中，但男孩比女孩更普遍。它们可能发生在两侧，但在右侧更常见。
是什么导致腹股沟疝？
The testicles develop in boys in the back of the abdomen just below the kidney. During development of the fetus, the testicle descends from this location into the scrotum pulling a sac-like extension of the lining of its abdomen with it (inguinal hernia into scrotum). This sac surrounds the testicle into adult life, but the connection to the abdomen generally entirely resolves. If this does not occur a hernia will result with the sac extending from the abdomen through the abdominal wall and into the inguinal canal (inguinal hernia into canal), where it ends in the groin or it can persist going all the way into the scrotum and the sac surrounding the testicle.
腹股沟疝仅在囊内的腹腔中有物质时才明显。在婴儿和儿童中，如果腹腔的含量未从腹部逃脱到囊中，则囊囊可能不会显而易见，因为腹壁中的开口太窄，无法实现这一点。
随着发育的发展，腹壁变得更强壮，可以通过开口进入囊中的内容，通常会扩张这种开口。一些因素使儿童面临腹股沟疝的较高风险，例如：
- 早熟
- 未固定的睾丸
- 疝气的家族史
- cystic fibrosis
- developmental hip dysplasia
- 尿道异常
Although girls do not have testicles, they do have an inguinal canal, so they can develop hernias as well. It is often the tube and ovary that fall into the hernia sac.
有时，在男孩和女孩中，通过疝气突出的肠道可能被卡住，无法返回腹腔。如果不能轻轻地将肠道回向腹腔，则该肠道可能会失去其血液供应。肠道的血液供应良好是健康和正常功能的必要条件。
腹股沟疝的症状是什么？
Inguinal hernias appear as a bulge or swelling in the groin or scrotum. The swelling may be more noticeable when the baby cries and may get smaller or go away when the baby relaxes. If your physician pushes gently on this bulge when the child is calm and lying down, it will usually get smaller as the contents of the sac go back into the abdomen.
如果疝气不能还原，那么肠道的环可能会肿胀，无法通过腹壁的开口恢复，可能需要紧急手术。
我们如何照顾腹股沟疝
波士顿儿欧宝彩票平台童医院部门of Urologyis a world leader in pediatric urology, offering specialized care for a wide range of urologic disorders in children and adolescents. Our team has special expertise in the治疗腹股沟疝。
波士顿儿童的部门of Surgery为患有腹股沟疝的婴儿和儿童提供一般和专业的手术服务。我们的团队在治疗腹股沟疝方面具有特殊的专业知识，并将与您合作设计适合您孩子的护理计划。
腹股沟疝|Diagnosis & Treatments
How are inguinal hernias diagnosed?
腹股沟疝可以通过您的孩子的医生进行身体检查来诊断。将检查您的孩子，以确定疝气是否可降低（可以将其推回腹腔）。您孩子的医生可能会订购腹部X射线or anultrasoundto examine the intestine more closely, especially if the hernia is no longer reducible.
What are the treatment options for inguinal hernias?
具体治疗将由您的孩子的医生根据以下情况确定：
- 您孩子的年龄，整体健康和病史
- 疝气类型
- whether the hernia is reducible (can be pushed back into the abdominal cavity) or not
- your child's tolerance for specific medications, procedures, or therapies
An operation is necessary to treat an inguinal hernia. It will be surgically repaired fairly soon after it is discovered, since the intestine can become stuck in the inguinal canal. When this happens, the blood supply to the intestine can be cut off, and the intestine can become damaged. Inguinal hernia surgery is usually performed before this damage can occur.
在疝气手术过程中，您的孩子将在麻醉下进行。在疝气区域进行小切口。肠道被放回腹腔中。然后将肌肉缝合在一起。有时，使用一块网状材料来帮助加强修复肌肉的区域，但这很少见，即使在青少年中也是如此。
A hernia operation is usually a fairly simple procedure. Children who have an inguinal hernia surgically repaired can often go home the same day they have the operation.
Once the hernia is closed, either spontaneously or by surgery, it is unlikely it will reoccur.