经脐环上缘疝修补术治疗儿童脐上3 cm以内白线疝  

Transumbilical Approach Repair for Hernia of Linea Alba Within 3 cm Above the Umbilicus in Children

作　　者：叶茂 李旭[1] 张军[1] 陈震[1] 耿园园 刘雪来[1] Ye Mao;Li Xu;Zhang Jun(Department of General(Neonatal)Surgery,Children’s Hospital Affiliated to Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]首都儿科研究所附属儿童医院普通新生儿外科,北京100020

出　　处：《中国微创外科杂志》2024年第1期41-44,共4页Chinese Journal of Minimally Invasive Surgery

基　　金：北京市自然科学基金(7222015);中国医学科学院小儿外科微创诊疗创新单元(2021RU015);首都儿科研究所所级课题(LCYJ-2023-07)。

摘　　要：目的探讨经脐环上缘入路筋膜下间隙修补脐上3 cm以内白线疝的安全性和有效性。方法回顾性分析我院2016年6月~2022年7月白线疝修补术资料,26例彩超检查提示白线疝下缘至脐上缘距离≤3 cm,经脐环上缘入路筋膜下间隙实施白线疝修补术。男7例,女19例。年龄7个月~11岁,中位数3岁。疝囊下缘至脐上缘距离(1.46±0.66)cm,白线疝疝环直径(1.16±0.57)cm。结果手术过程顺利,手术时间(39.1±26.3)min,无并发症,术后1天出院。随访时间1年2个月~7年3个月,中位数5年1个月。无伤口感染、出血等并发症,无白线疝复发和皮肤肉芽肿形成。结论经脐环上缘入路修补儿童脐上3 cm以内白线疝安全、有效,切口美观。Objective To investigate the safety and effectiveness of transumbilical repair for hernia of linea alba within 3 cm above the umbilicus.Methods Clinical data of 26 patients who underwent transumbilical approach hernia repair in our hospital from June 2016 to July 2022 were retrospectively analyzed.Color ultrasound examination showed that the distance from the lower edge of the hernia to the upper edge of the umbilicus was≤3 cm.The hernia repair was performed through the fascial space via the upper edge approach of the umbilical ring.There were 7 boys and 19 girls.The age was 7 months to 11 years old(median,3 years old).The distance from the lower edge of the hernia sac to the upper edge of the umbilicus was(1.46±0.66)cm,and the diameter of the hernia of linea alba was(1.16±0.57)cm.Results The surgery was completed smoothly.The operation time was(39.1±26.3)min.No complication was noted.All the patients were discharged one day after surgery.The follow-ups lasted for 1 year and 2 months to 7 years and 3 months(median,5 years and 1 month).No wound infection,bleeding or other complications occurred.No recurrence of hernia or formation of skin granulomas happened.Conclusion Transumbilical approach repair for hernia of linea alba within 3 cm above the umbilicus is safe and effective,with good cosmetic results.

关 键 词：白线疝 经脐入路 小儿 

分 类 号：R726.5[医药卫生—儿科]