腹腔镜经脐双孔治疗小儿腹股沟斜疝的疗效  

Outcomes of trans-umbilical two-port laparoscopic procedure for treatment of indirect inguinal hernia in children

作　　者：苏鹏超 耿伟民 刘昆强 刘宁 Su Pengchao;Geng Weimin;Liu Kunqiang;Liu Ning(Pediatric Surgery,Maternal and Child Health Hospital of Tongzhou District,Beijing 101100,China)

机构地区：[1]北京市通州区妇幼保健院小儿外科,101100

出　　处：《中华疝和腹壁外科杂志（电子版）》2020年第6期601-604,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：国家科技支撑计划(2014BAI10B00)。

摘　　要：目的观察采用经脐双孔法腹腔镜治疗小儿腹股沟斜疝的手术效果。方法回顾分析2018年1~12月北京市通州区妇幼保健院154例经脐双孔法腹腔镜治疗小儿腹股沟斜疝临床资料,评估经脐双孔法腹腔镜治疗腹股沟斜疝临床疗效。结果所有患儿顺利完成手术,其中单侧腹股沟斜疝71例(46.1%),双侧腹股沟斜疝6例(3.8%),术中发现对侧隐匿疝77例(50%),单侧腹股沟斜疝平均手术时间(32.7±10.1)min,双侧腹股沟斜疝平均手术时间(33.4±10.9)min。术后随访6个月,未发现复发、阴囊血肿、睾丸萎缩及脐疝等相关并发症。结论经脐双孔法腹腔镜治疗小儿腹股沟斜疝疗效确切,术后瘢痕小,术后并发症低。Objective To observe the effect of laparoscopic trans-umbilical two-port laparoscopic procedure for treatment of indirect inguinal hernia in children.Methods The clinical data of 154 cases of indirect inguinal hernia in children from Tongzhou district maternal and child health hospital were analyzed retrospectively to evaluate the clinical effect of trans-umbilical two-port laparoscopic treatment of indirect inguinal hernia.Results All the children successfully completed the operation,including 71 cases(46.1%)of unilateral indirect inguinal hernia,6 cases(3.8%)of bilateral indirect inguinal hernia,77 cases(50%)of contralateral occult hernia were found during the operation.The average operation time of unilateral indirect inguinal hernia was(32.7±10.1)minutes,and that of bilateral indirect inguinal hernia was(33.4±10.9)minutes.The postoperative follow-up was 6 months,and no recurrence,scrotal hematoma,testicular atrophy,umbilical hernia and other related complications were found.Conclusion Trans-umbilical two-port laparoscopic treatment of indirect inguinal hernia in children is effective,with small scar and low postoperative complications rate.

关 键 词：腹股沟斜疝 腹腔镜 儿童 经脐双孔法 

分 类 号：R726.5[医药卫生—儿科]