腹腔镜微创手术治疗不同年龄腹股沟疝300例临床分析  

作　　者：杨康[1] 徐海[1] 

机构地区：[1]四川都江堰市人民医院普外科,611830

出　　处：《中国社区医师（医学专业）》2011年第35期28-28,共1页

摘　　要：目的:评价腹腔镜在腹股沟疝应用的安全性及优势。方法:分析300例腹腔镜微创手术治疗成人及小儿腹股沟疝临床资料,其中成人89例,小儿211例,成人采用腹腔镜下腹膜前及完全腹膜外腹股沟无张力疝修补术,经腹腹膜前修补术(TAPP)49例。全腹膜外修补术(TEP)40例,儿童采用腹腔镜小儿腹股沟疝囊高位结扎术。结果:全部病例治愈,成人1例术后轻微疼痛2个月后缓解。随访1～4年,无复发。结论:腹腔镜微创手术治疗腹股沟疝具有损伤小,术后恢复快,并发症少,复发率低,诊治隐性疝的优点,是疝外科治疗的发展方向。Objective：To evaluate the safety and efficacy of laparoseopie inguinal hernia in different age.Methods：from 300 patients（Adult 89,child 211）,undergoing laparuscopic technique from September 2004 to March 2011,were retrospectively analyzed.Adult by laparoseopie inguinal hernia repair（LIHR）,child by laparoscopic high ligation of hernial sac.Results：No conversion to open surgery Was required during these operations.1 Adult transient neurapraxia for 2 month,the follow-up period ranged from 1 to 48 months,（medium follow-up time 18 months）.no overatl ecurrence.Conclusions：Laparuscopic Surgical Technique in Inguinal Herni is safe and effective.It has advantages of less trauma,quicker recovery and lower recurrence rate.

关 键 词：腹腔镜 腹股沟疝 成人 小儿 

分 类 号：R726.562.1[医药卫生—儿科]