腹腔镜治疗小儿腹股沟斜疝468例效果观察及复发原因分析  

Analysis of Effects of Laparoscope in the Treatment of Infantile Indirect Inguinal Hernia and Review of Relapse Cause(A Report of 468 cases)

作　　者：陈卫东[1] 李正平[1] 张昌庆[1] 杨建国[1] 周君[1] 

机构地区：[1]解放军477医院普通外科,湖北襄樊441021

出　　处：《解放军医药杂志》2011年第1期33-34,共2页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的探讨腹腔镜治疗小儿腹股沟斜疝的复发原因及对策。方法回顾性分析2003年1月～2008年2月我院行腹腔镜治疗的小儿腹股沟斜疝468例的病例资料。结果 468例中复发8例,其中手术同侧复发7例,对侧复发1例。同侧复发疝囊从原疝囊颈部突出4例,自原疝囊颈部边缘突出3例。8例均行腹腔镜再手术治疗,7例治愈,1例术后1个月复发行常规手术治愈。结论腹腔镜治疗小儿腹股沟斜疝安全、有效,根据术中探查情况行相应手术可减少术后复发。Objective To discuss the relapse cause and propose the strategies in treatment of infantile indirect inguinal hernia using laparoscope.Methods Clinical data of 468 patients with the disease hospitalized in the 477th Hospital from January 2003 to February 2008 was retrospectively analyzed.Results Of the 468 cases,there were 8 relapses,including 7 with same operation side and 1 case with opposite side.Of the 8 relapses,there were 4 cases of hernial sac protrusion in transverse part and 3 in edge part.All the 8 patients underwent laparoscopic reoperation,with 7 cured and 1 case of relapse 1 month after operation and was cured after ordinary surgery.Conclusion Laparoscope in the treatment of infantile indirect inguinal hernia is safe and effective.Appropriate operational strategies may reduce relapse rate.

关 键 词：疝 腹股沟 儿童 腹腔镜检查 复发 再手术 

分 类 号：R656.21[医药卫生—外科学]