采用微型腹腔镜治疗儿童腹股沟斜疝临床观察  

The mini-laparoscopic management of indirect inguinal hernia in children

作　　者：赖志鸿[1] 郑燕君[1] 林晓斌[1] 

机构地区：[1]汕头大学医学院第一附属医院小儿外科,广东省汕头515041

出　　处：《中国基层医药》2010年第8期1041-1042,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨采用微型腹腔镜治疗儿童腹股沟斜疝的手术方法、疗效及安全性。方法回顾性分析采用腹腔镜手术治疗136例儿童腹股沟斜疝的临床资料，其中右侧斜疝75例，左侧斜疝44例，双侧斜疝17例，所有斜疝均在腹腔镜下行内环口高位缝扎术。结果手术时间（平均）：单侧疝10min，双侧疝23min；术中发现对侧内环口未闭（隐匿性斜疝）者共38例；术后1—2d出院；随访3月至1年，2例术后复发。结论腹腔镜下疝囊高位结扎术治疗儿童腹股沟斜疝安全有效、创伤小、恢复快。Objective To study the method, advantage and shortcoming of mini-laparoscopic treatment for indirect inguinal hernia in children. Methods 136 cases with indirect inguinal hernia（ right ：75cases, left ：44 cases, bilateral：IT cases） had been treated by high ligation with mini-laparoscopy. Results The mean operation time was 10 min for unilateral hernia and 23 min for bilateral hernia. Among 119 cases with unilateral hernia,38 cases had been found with contralateral latent hernia. The mean of postoperative inhospital stay were about 1 -2 day（s）. All patients had been followed-up for 3 - 12 months, there were only 2 cases recurrence found but no complications was detected. Conclusion Mini-laparoscopic high ligation for indirect inguinal hernia in children is a single, safe, satisfactory, effective, and minimally invasive surgical method.

关 键 词：腹腔镜检查 疝 腹股沟 儿童 

分 类 号：R726[医药卫生—儿科]