中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
7期
51-52
,共2页
黄志耿%李一凡%蔡伟升%郑纯伟%许炎荣
黃誌耿%李一凡%蔡偉升%鄭純偉%許炎榮
황지경%리일범%채위승%정순위%허염영
腹腔镜术%腹股沟疝%小儿%器械改进
腹腔鏡術%腹股溝疝%小兒%器械改進
복강경술%복고구산%소인%기계개진
Laparoscopy%Inguinal hernia%Children Appliance improvement
目的 探讨腹腔镜配合自行改进的注射器针头荷包缝扎内环几周边腹膜治疗小儿斜疝内环口关闭术的应用价值.方法 将4-0丝线穿人一次性7号注射器针头在腹腔镜下,用器械辅助钳配合.荷包缝合内环口治疗小儿腹股沟斜疝.结果 50例手术每侧时间约5-10 min,治愈50例,发现隐匿性疝7例,均一次手术,随访无复发、恢复快.结论 应用该技术治疗小儿腹股沟斜疝,具有疗效确切,创伤小、手术时间短、副损伤小、恢复快、住院时间短、术后美观无瘢痕、无复发等优越性.能及时发现隐匿疝,一次完成双侧手术,避免二次手术.使用自行改进的手术器械,设计合理,操作简便,创伤更小,成本更低,可在有条件的基层医院推广.
目的 探討腹腔鏡配閤自行改進的註射器針頭荷包縫扎內環幾週邊腹膜治療小兒斜疝內環口關閉術的應用價值.方法 將4-0絲線穿人一次性7號註射器針頭在腹腔鏡下,用器械輔助鉗配閤.荷包縫閤內環口治療小兒腹股溝斜疝.結果 50例手術每側時間約5-10 min,治愈50例,髮現隱匿性疝7例,均一次手術,隨訪無複髮、恢複快.結論 應用該技術治療小兒腹股溝斜疝,具有療效確切,創傷小、手術時間短、副損傷小、恢複快、住院時間短、術後美觀無瘢痕、無複髮等優越性.能及時髮現隱匿疝,一次完成雙側手術,避免二次手術.使用自行改進的手術器械,設計閤理,操作簡便,創傷更小,成本更低,可在有條件的基層醫院推廣.
목적 탐토복강경배합자행개진적주사기침두하포봉찰내배궤주변복막치료소인사산내배구관폐술적응용개치.방법 장4-0사선천인일차성7호주사기침두재복강경하,용기계보조겸배합.하포봉합내배구치료소인복고구사산.결과 50례수술매측시간약5-10 min,치유50례,발현은닉성산7례,균일차수술,수방무복발、회복쾌.결론 응용해기술치료소인복고구사산,구유료효학절,창상소、수술시간단、부손상소、회복쾌、주원시간단、술후미관무반흔、무복발등우월성.능급시발현은닉산,일차완성쌍측수술,피면이차수술.사용자행개진적수술기계,설계합리,조작간편,창상경소,성본경저,가재유조건적기층의원추엄.
Objective Investigate the applied value of using laparoseope and syringe needle improved by ourselves,in purse string suture peritoneum of inner ring to heal children indirect hernia.Methods use No.7 synnge needle with No.4 silk thread,matching with the laparoseope and apparatus assistance pliers,in purse string suture peritoneum of inner ring to heal children indirect hernia.Results There are 50 cases,each side of one case needs about 5~10 min and all is cured.Discovered 7 concealed hernia,and just need only one operation:follow up and no recurrence,recuperate quickly.Conclusion Apply this operation technique to heal pedoindirect hernia,have much superiority:therapeutic effect is obvious,trauma is slisht,recuperation is quick,no recurrence,tresis vulnus have no scar formation.Discover concealed hernia in time,complete a pajr of sides surgical operation in one time,avoid one more surgical operation.This surgical operation technique is improved by ourselves,designed reasonablly,operated conveniently and the trauma is smaller.This operation is easy to be accepted and can be expanded in the conditioned basic level hospital.