腹腔镜结合术前彩超对小儿隐匿性斜疝的诊断与治疗探讨  

作　　者：刘伟[1] 徐纪荣[2] 

机构地区：[1]山西医科大学,山西030001 [2]山西省儿童医院普外科,山西030001

出　　处：《当代医学》2014年第11期111-112,共2页Contemporary Medicine

摘　　要：目的：探讨腹腔镜结合术前彩超对小儿隐匿性斜疝的诊断及治疗。方法选取2012年1月～2013年10月山西儿童医院收治的861例腹腔镜治疗小儿腹股沟斜疝患儿的临床资料，术前均常规行彩色多普勒超声检查，患儿年龄6月～14岁，平均（4.18±0.03）岁。结果腹腔镜手术过程均顺利，手术时间单侧为（12.26±0.04）min，双侧为（23.68±0.12）min。术中发现对侧隐性内环口未闭148例，占17.19%，均手术处理。彩超准确诊断824例，误诊15例，漏诊22例，诊断阳性率为95.70%，假阳性率为1.74%，假阴性率为2.56%。结论术前彩色多普勒超声可提高对隐匿性腹股沟斜疝的术前诊断水平，结合腹腔镜可明确诊断，避免手术探查的盲目性。Objective To investigate the diagnosis and treatment signiifcance of Laparoscopy and preoperative color Doppler ultrasound in occult inguinal hernia of the children. Methods From Jan 2012 to Oct 2013, 861 children examined by preoperative color doppler ultrasound aged from 6 month to 14 years （4.18±0.03） were treated mini-Laparoscopic indirect inguinal hernia repair. The clinical data were carefully analyzed. Results The operations were successful. The unilateral indirect inguinal hernia completed took （12.26±0.04）min, while （23.68±0.12）min in bilateral indirect inguinal hernia. During operation, 148 children with hidden patent internal ring of the other side were found （17.19%） who have been successfully operated. The 824 cases were diagnosed accurately by Color doppler ultrasound and 15 cases were misdiagnosed, while 22 cases missed diagnosis. The diagnosis positive rate was 95.70%and false positive rate 1.74%, in addition, the false negative rate was 2.56%. Conclusion Preoperative color doppler ultrasound combined with laparoscopy can improve the preoperative diagnosis of occult inguinal hernia, and avoid the blindness of surgical exploration.

关 键 词：腹腔镜 彩色多普勒超声 隐匿性 腹股沟斜疝 

分 类 号：R726.5[医药卫生—儿科]