未合并隐睾的小儿半月线疝一例并文献复习

doi:10.3877/cma.j.issn.1674-392X.2025.06.022

中华疝和腹壁外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (06) : 722 -724. doi: 10.3877/cma.j.issn.1674-392X.2025.06.022

临床病例分析

未合并隐睾的小儿半月线疝一例并文献复习

朱少伟^†(

)

212003　江苏，镇江市妇幼保健院小儿外科

收稿日期:2023-08-21 出版日期:2025-12-18
通信作者: 朱少伟

Spigelian hernia without cryptorchidism in a child: a case report and literature review

Shaowei Zhu^†()

Department of Pediatric Surgery, Zhenjiang Maternal and Child Health Care Hospital, Zhenjiang 212003, Jiangsu Province, China

Received:2023-08-21 Published:2025-12-18
Corresponding author: Shaowei Zhu

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报道1例2岁11个月未合并隐睾的半月线疝患儿的诊疗过程。患儿曾误诊为腹股沟斜疝并行腹腔镜手术，后经开放手术确诊为半月线疝，行疝囊高位结扎及修补术。术后恢复良好，随访7个月无复发。结合文献探讨小儿半月线疝的临床特点及诊治要点。

关键词: 半月线疝, 儿童, 诊断, 治疗

This paper reports the diagnosis and treatment of a 2-year-and-11-month-old boy with Spigelian hernia without cryptorchidism. The child was initially misdiagnosed with indirect inguinal hernia and underwent laparoscopic surgery. The diagnosis of Spigelian hernia was later confirmed by open surgery, during which high ligation and repair of the hernia sac were performed. The patient recovered well with no recurrence during 7 months of follow-up. The clinical characteristics and key points in diagnosis and treatment of pediatric Spigelian hernia are discussed in combination with relevant literature.

Key words: Spigelian hernia, Child, Diagnosis, Treatment

图1 半月线疝患儿腹部MRI检查注：箭头所示为皮下囊性包块，大小约1.2 cm×1.3 cm×1.6 cm；1A矢状位，1B冠状位。

图2 术中见半月线处突出的疝囊

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