单孔腹腔镜疝囊高位结扎术在儿童腹股沟斜疝中的应用  

Application of single-hole high ligation in pediatric inguinal hernia

作　　者：孟繁杰[1] 王海刚[1] 李燕书[1] 马顺茂[1] 张立献[1] 黎辉[1] 

机构地区：[1]河北医科大学附属华北石油管理局总医院普外二科,河北任丘062552

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第1期36-38,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨单孔腹腔镜疝囊高位结扎术在儿童腹股沟斜疝中的可行性及优越性。方法从2007年10月至2010年1月,对90例(130侧)儿童实施了二孔法腹腔镜疝囊高位结扎术(A组)。2010年2月至2012年2月,对于100例(150侧)儿童实施了单孔腹腔镜疝囊高位结扎术(B组)。结果所有患儿均顺利完成手术。二组在手术时间、术中出血量、住院时间、术后复发率相比差异均无统计学意义(t=1.24、0.39、1.75,χ2=0.33,P均>0.05)。在家属对切口满意度方面,二组差异有统计学意义(t=7.72,P=0.00)。A组随访12～59个月,平均26个月,复发4例。B组随访7～31个月,平均20个月,复发3例。结论二孔法和单孔腹腔镜疝囊高位结扎术在儿童腹股沟斜疝中同样安全、可靠,单孔法在美容效果方面更有优势。Objective To explore the feasibilities and advantages of pediatric inguinal hernia in high ligation by single port of laparoscopy. Methods A total of 90 （ total 130 cases） pediatric eases were applied with high ligation by 2-hole laparoscopy （Group A） from October 2007 to January 2010. The other set of 100 （150 cases） of children were operated with high ligation by single-hole laparoseopy （Group B ） from February 2010 to February 2012. Results All the patients were successfully operated. No differences in the operation time, bleeding,hospital stays, operation recurrence were observed between the two groups （t = 1.24,0.39,1.75 ,X2 = 0.33, all P 〉 0.05 ）. Group B is superior to the Group A in the case of appearance （ t = 7.72 ,P = 0.00）. The follow-up in the Group A lasted 12 to 59 months with a mean of 26 months with 4 cases of recurence. Group B had a follow-up of 7 to 31 months with a mean of 20 months with 3 cases of recurence. Conclusions Both methods are safe and reliable. The single-hole high ligation has the advantages of appearances.

关 键 词：疝 腹股沟 腹腔镜 儿童 

分 类 号：R726.9[医药卫生—儿科]