腹腔镜单孔法治疗小儿腹股沟滑疝探讨  

One-trocar laparoscopic herniorrhaphy for children with sliding inguinal hernia

作　　者：白剑[1] 高卫华[1] 梁劲文 何时鸣[1] 戴丰华[1] 

机构地区：[1]广州中医药大学附属南海妇产儿童医院小儿外科,广东佛山528000

出　　处：《广东医学院学报》2015年第1期86-88,共3页Journal of Guangdong Medical College

摘　　要：目的探讨腹腔镜单孔法治疗小儿腹股沟滑疝的可行性。方法 60例腹股沟滑疝患儿分为观察组和对照组,每组30例,观察组采用腹腔镜下单孔法手术,对照组采用开放式腹股沟滑疝修补术,比较两组的手术时间、出血量、术后住院时间、并发症发生率以及腹部美容效果。结果观察组手术时间、出血量及术后住院时间均少于对照组(P<0.01)。两组均未发生积液、血肿、感染等并发症,术后随访1 a均无复发病例。观察组腹壁无可见瘢痕。结论采用腹腔镜单孔法治疗小儿腹股沟滑疝损伤小、效果好。Objective To study the feasibility of one-trocar laparoscopic herniorrhaphy for children with sliding inguinal hernia. Methods Sixty children with sliding inguinal hernia were evenly divided into observation and control groups and then treated by one-trocar laparoscopic and open herniorrhaphy, respectively. Operating time, blood loss, postoperative hospital stay, complication and abdominal cosmetic results were compared between two groups. Results The operating time, blood loss, and postoperative hospital stay was fewer in observation group than in control group（P〈0.01）. There were no effusion, hematoma, infection and 1-year recurrence in both groups. Inconspicuous scars were seen in observation group. Conclusion One-trocar laparoscopic herniorrhaphy is effective and mini-invasive for children with sliding inguinal hernia.

关 键 词：腹腔镜 腹股沟滑疝 疝修补术 

分 类 号：R726.1[医药卫生—儿科]