下腹横纹小切口免缝治疗儿童腹股沟疾病的探讨  

Exploration of small incision-free treatment by abdominal stripes in pediatric patients with groin disease

作　　者：王松伟[1] 王毅[1] 石伟强[1] 刘玉辉[1] 

机构地区：[1]武警北京总队第三医院,100039

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第2期27-28,共2页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨下腹横纹小切口免缝治疗腹股沟疝的方法。方法小儿腹股沟疾病患者218例,其中197例男性患儿中腹股沟疝112例,睾丸鞘膜积液85例;21例女性患儿中腹股沟疝18例,圆韧带囊肿(Nuck囊肿)3例。对218例患儿采用外环口体表投影上方的腹横纹处小横切口。结果手术均顺利,手术时间4～20min,平均12min,术中预防性应用抗生素,术后不使用。术后1～2d出院,平均1.4d,无阴囊血肿及切口感染,随访6个月至2年无复发。结论下腹横纹小切口治疗儿童腹股沟疾病切口小、痛苦小、恢复快,值得临床推广。Objective To investigate the method of stripes and small incision abdominal seamless treatment of inguinal hernia. Methods A total of 218 pediatric inguinal patients,including 112 of 197 male cases with inguinal hernia,85 cases of hydrocele and 18 of 21 female cases with inguinal hernia,3 cases of round ligament cyst （Nuck cyst）. The transverse incisions in 218 cases were used by surface projection of the riag. Results The operation time was 4 to 20 minutes with a mean of 12 minutes. The antibiotics were used in surgery and after operation. The patients were discharged 1 or 2 after operation with a mean of 1.4 days. No scrotal hematoma and wound infection were found. No recurrence wasobserved in the 6-month to 2-year fol- low-ups. Conclusions Small incision by abdominal stripes in pediatric groin disease with less pain and rapid recovery can be applicable for clinical practice.

关 键 词：疝 腹股沟 儿童 睾丸鞘膜积液 肌 横纹 

分 类 号：R726.5[医药卫生—儿科]