改良双孔法微型腹腔镜治疗小儿斜疝  

Modified diplopore microlaparoscopic treatment for indirect inguinal hernia in children

作　　者：王跃全[1] 杜凤藻[1] 徐霖[1] 吴小伟[1] 仇晨[1] 

机构地区：[1]厦门市中医院,福建厦门361009

出　　处：《腹腔镜外科杂志》2007年第5期396-397,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨改良双孔法微型腹腔镜治疗小儿腹股沟斜疝的应用价值。方法:用改进的腹壁应急缝合针于微型腹腔镜下,用器械钳辅助配合,荷包缝合内环口治疗小儿腹股沟斜疝。结果:治疗小儿斜疝120例,单侧斜疝94例,双侧斜疝26例,隐匿性疝13例。单侧疝手术时间8～15min,平均10min,双侧疝18min,无阴囊水肿、感染、睾丸萎缩、医源性隐睾等并发症发生。术后随访1～15个月,无复发。结论:改良双孔法微型腹腔镜治疗小儿腹股沟斜疝安全、可靠、美观并且操作简便,值得基层医院推广应用。Objective：To discuss the value of modified diplopore microlaparoscopic treatment for indirect inguinal hernia in children. Methods：In the microlaparoscopic surgery, the internal ring was purse-string sutured by modified abdominal wall emergency suture needle and forceps. Results：The procedure was successfully performed in 120 cases,in which there were 94 unilateral hernia,26 bilateral hernia and 13 latent hernia. The duration of unilateral hernia operation was 8-15min,averaged lOmin;and it was 18min for inbilateral hernia. No complications, such as scrotum edema, infection, testicular atrophy, iatrogenic cryptorchism and so on, occured. No recurrence was found after 1-15 months follow-up. Conclusions ：Modified diplopore microlaparoscopy is a safe cosmetic easy and promising technology,which should be generalized in primary hospital.

关 键 词：疝 腹股沟 儿童 腹腔镜术 

分 类 号：R726.5[医药卫生—儿科]