腹腔内疝囊充填关闭术治疗小儿斜疝  

Intra-abdominal sac filling closer plugging for pediatric inguinal hernia： a report of 37 cases

作　　者：雷泽华[1] 高峰畏 包平倩[1] 王志旭[1] 张英毅[1] 王志刚[1] 俞慎林[1] 彭忠[1] 蒋鸿元 

机构地区：[1]四川省乐山市人民医院普外科,614000

出　　处：《中华小儿外科杂志》2014年第5期358-361,共4页Chinese Journal of Pediatric Surgery

摘　　要：目的 采用一种自制“小儿疝囊闭合器”的封堵技术来治疗小儿腹股沟疝.方法 插管全身麻醉下,通过脐部10mm单孔置入镜头和“小儿疝囊闭合器”,从腹股沟管外环和内环体表对应处,用特制针从这两处分别穿刺入腹腔将闭合器上的定位线从腹股沟管内拉出,2根固定线也从腹腔拉出,牵拉定位线使闭合器由内向外充填腹壁缺损后,在体外将两根固定线打结皮下固定闭合器完成疝囊的关闭.结果 从2011年12月至2013年09月对37例38侧小儿疝实施了手术.37例术后出院时,腹股沟区域均无红肿和硬节存在,35例男性阴囊无水肿;仅1例术后9d回访时见脐部切口出现红肿.全部随访,随访最长时间为21个月,最短3个月,平均随访为（14.6＆#177;5.89）个月,无术后疝复发,腹股沟区无明显瘢痕和硬节存在.结论 此手术是一种创伤小、操作快捷方便、技术简单实用、治疗安全有效的微创技术.Objective To explore the feasibility of treating pediatric inguinal hernia with self-developed plugging pediatric hernia sac closer.Methods Under general anesthesia intubation,through a 10 mm puckering in umbilical region,lens and pediatric hernia sac closer were inserted.And a special puncture needle was guided from the corresponding places of outer and inner rings of inguinal canal surface into abdominal cavity.Then the positioning lines were pulled out from inguinal canal and knotted for closing abdominal wall defects.Results From December 2011 to March 2013,37 cases （38 sides） of inguinal hernia were treated surgically.At discharge,neither redness nor hardness was found in all groin areas.Thirty-five cases had no scrotal edema and only 1 case showed umbilical incision redness at Day 9 post-operation.During a follow-up period of 14.6 ＆#177; 5.89 months,neither recurrence of hernia nor obvious scarring or hardness occurred in groin area.Conclusions The pediatric hernia sac closer is both feasible and safe in the treatment of pediatric inguinal hernia.

关 键 词：腹股沟疝 儿童 微创外科手术 

分 类 号：R726.5[医药卫生—儿科]