CAJ | 학술논문

目的探讨脐内侧韧带在预防大疝囊小儿腹股沟斜疝术后复发中的作用.方法回顾性分析具有较大疝囊的小儿腹股沟斜疝178例患儿的临床资料,所有患儿均在小儿腹腔镜下内环口高位缝扎后将同侧脐内侧韧带缝合覆盖内环口以进一步加强.结果所有病例均于术后1～2 d治愈出院,随访3～18个月,术后无复发及其他并发症.结论小儿腹腔镜下应用脐内侧韧带加强覆盖内环口治疗大疝囊小儿腹股沟斜疝可进一步减少术后复发,该手术方法安全可行,值得推广.
목적 탐토제내측인대재예방대산낭소인복고구사산술후복발중적작용.방법 회고성분석구유교대산낭적소인복고구사산178례환인적림상자료,소유환인균재소인복강경하내배구고위봉찰후장동측제내측인대봉합복개내배구이진일보가강.결과 소유병례균우술후1～2 d치유출원,수방3～18개월,술후무복발급기타병발증.결론 소인복강경하응용제내측인대가강복개내배구치료대산낭소인복고구사산가진일보감소술후복발,해수술방법안전가행,치득추엄.
Objective To study medial umbilical ligament in the prevention of recurrence of indirect inguinal hernia with large sac by laparoscopic treatment in children.Methods The clinical data of 178 cases of indirect inguihal hernia with large sacs in children were retrospectively analyzed.After high suture ligation of the internal ring with pediatric laparoscopy,all of the internal tings were covered with the same side of medial umbilical ligament to further strengthen.Results All cases were discharged from hospital 1～2 days after surgery.No recurrence and no any other complications could be found after following up 3～18 months.Conclusion Pediatric laparoscopic application of medial umbilical ligament to further cover the internal ring could significantly reduce the rate of recurrence for indirect inguinal hernia with large sac.This method of operation waft safe and feasible.It Was worth promoting.