经疝囊腹腔镜探查诊治腹股沟嵌顿疝的临床价值  

Clinical Application of Laparoscopic Exploration via Hernial Sac in the Diagnosis and Treatment of Inguinal Incarcerated Hernia

作　　者：朱杰[1] 汤黎明[1] 钱峻[1] 莫琪[1] 

机构地区：[1]南京医科大学附属常州第二人民医院(阳湖院区)胃肠外科,常州213003

出　　处：《中国微创外科杂志》2017年第6期560-561,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨经疝囊腹腔镜探查在开放性腹股沟嵌顿疝手术中的临床应用。方法 2010年12月~2015年12月15例腹股沟嵌顿性疝术中发现疝内容物已回纳,经疝囊用腹腔镜行腹腔探查后,根据具体情况行相应的修补手术。结果探查后发现小肠坏死,行小肠部分切除1例,小肠浆膜撕裂行部分修补2例,余12例行开放无张力疝修补或疝囊高位结扎术。15例随访3个月~2年,平均15个月,术后无睾丸萎缩、医源性隐睾、切口疝等并发症,均无复发。结论经疝囊使用腹腔镜探查可以安全有效地探查腹腔,对腹股沟嵌顿疝的患者非常有益。Objective To investigate the clinical application of laparoscopic exploration via hernial sac in open inguinal incarcerated hernia surgery. Methods A retrospective study was conducted in 15 patients with inguinal incarcerated hernia from December 2010 to December 2015 in our hospital. The hernia contents had been found back during surgery after the abdominal cavity exploration under laparoseope. Surgical repair operations were carried out according to specific conditions. Results There were 1 case of partial small bowel resection after exploration with enteric necrosis, 2 cases of partial repair on intestinal serosa tear, and 12 cases of open repair or high ligation of hernia sac. The 15 patients were followed up for 3 months to 2 years （ mean, 15 months）. There was no testicular atrophy, iatrogenic cryptorchidism, or incisional hernia postoperatively. No recurrence was found. Conclusion Laparoscopic exploration via hernial sac can be used to probe the abdominal cavity effectively, being beneficial to patients with inguinal incarcerated hernia.

关 键 词：疝囊 腹腔镜探查 嵌顿疝 

分 类 号：R656.2[医药卫生—外科学]