腹腔镜小儿腹股沟斜疝内环口结扎术85例体会  

The clinical application of laparoscopic high ligation in child indirect inguinal hernia:with a report of 85 cases

作　　者：陈金水[1] 蔡晓棠[1] 楼朝阳[1] 张罕松[1] 湛继久[1] 

机构地区：[1]解放军第477医院,湖北襄樊441003

出　　处：《腹腔镜外科杂志》2007年第6期511-512,共2页Journal of Laparoscopic Surgery

摘　　要：目的：探讨腹腔镜内环口结扎术治疗小儿腹股沟斜疝的临床应用价值。方法：回顾分析2005年8月至2006年10月85例腹股沟斜疝患儿行腹腔镜内环口结扎术的临床资料。结果：85例全部治愈。手术时间单侧5～15min，平均10min；双侧12—28min，平均18min。术后住院1—3d，平均住院2．4d。随访6—28个月，无一例复发。结论：腹腔镜小儿腹股沟斜疝内环口结扎术具有效果好、损伤小、恢复快、住院时间短、复发率低等优点。Objective ：To explore the clinical value of treating child indirect inguinal hernia with laparoscopic technique. Methods： The clinical data of 85 cases of pediatric indirect, inguinal hernia treated with laparoscopic technique from August of 2005 to October of 2006 were analyzed retrospectively. Results ： The operations were successful in all of the 85 cases. The mean operation time was 5- 15min （mean 10min） in unilateral inderect inguinal hernia ;12-28min（ mean 18min） in bilateral inderect inguinal hernia, and the hospitalization time after operation was 1 to 3 days（ mean 2.4 days）. No complication occured in those cases. No recurrence was found at a follow-up of 6-28 months. Conclusions：Laparoscopic high ligation of the hernia sac is safe and effect for pediatric inguinal hernia in children, with advantage of simple performance, short operation time, mlni-invasion, quick recovery and low complication rate.

关 键 词：疝 腹股沟 儿童 腹腔镜术 

分 类 号：R726.5[医药卫生—儿科]