腹腔镜技术治疗小儿腹股沟嵌顿疝的探讨  

Discuss of laparoscopic technique in the treatment of inguinal incarcerated hernia in children

作　　者：吴航 于忠勤[1] Wu Hang;Yu Zhongqin(The Children's Hospital of Wuxi City,214000)

机构地区：[1]无锡市儿童医院,江苏无锡214000

出　　处：《中国社区医师》2020年第12期84-85,共2页Chinese Community Doctors

摘　　要：目的:探讨腹腔镜治疗小儿腹股沟嵌顿疝的疗效。方法:2015年9月-2017年9月收治小儿腹股沟嵌顿疝患儿14例,均给予腹腔镜治疗,分析疗效。结果:14例腹腔镜手术均成功完成,13例经腹腔镜辅助手术成功复位,1例复位失败需要嵌顿松解;术中无输精管和精索损伤,术后无并发症。结论:腹腔镜下治疗小儿腹股沟嵌顿疝不会损害腹股沟管的解剖结构,但可进行高位结扎,并可直接观察疝内容物损伤情况,观察对面是否存在隐匿疝,具有微创、有效、美观等特点,安全可行。Objective:To explore the effect of laparoscopic technique in the treatment of inguinal incarcerated hernia in children.Methods:From September 2015 to September 2017,14 children with inguinal incarcerated hernia were selected and treated with laparoscopy.We analyzed the efficacy.Results:14 cases of laparoscopic surgery were successfully completed,13 cases had successful reduction with laparoscopic assisted surgery,in one case,the reduction was unsuccessful,and which needed to release the implant.There was no injury of vas deferens and spermatic cord during the operation and no complication after the operation.Conclusion:Laparoscopic treatment of inguinal incarcerated hernia in children will not damage the anatomical structure of the inguinal canal,but high ligation can be performed,and we can directly observe the damage of hernia contents,and observe whether there is concealed hernia on the opposite side,it has the characteristics of minimally invasive,effective and beautiful,and is safe and feasible.

关 键 词：嵌顿疝 腹腔镜 儿童 

分 类 号：R726.5[医药卫生—儿科]