CAJ | 학술논문

目的：探讨腹腔镜下疝囊高位结扎术在儿童腹股沟斜疝中的临床疗效，评价该术式的临床应用价值。方法采集2012年1月至2013年6月，喀什地区第一人民医院收治的196例腹股沟斜疝患儿的临床资料进行回顾性分析。患儿均采用腹腔镜下疝囊高位结扎术，对手术时间、住院时间、住院费用、术后并发症发生率及术后复发率等指标进行统计学分析。结果本组患儿平均手术时间（17±5）min，平均住院时间4～6 d，平均住院费用（4125±25）元。术后随访1～18个月，术后复发2例，复发率为1．0％，无其他术后并发症发生。结论腹腔镜下疝囊高位结扎术用于儿童腹股沟斜疝的治疗，具有手术时间短、住院时间短、创伤小、疗效可靠等优点，值得广泛应用于临床。
목적：탐토복강경하산낭고위결찰술재인동복고구사산중적림상료효，평개해술식적림상응용개치。방법채집2012년1월지2013년6월，객십지구제일인민의원수치적196례복고구사산환인적림상자료진행회고성분석。환인균채용복강경하산낭고위결찰술，대수술시간、주원시간、주원비용、술후병발증발생솔급술후복발솔등지표진행통계학분석。결과본조환인평균수술시간（17±5）min，평균주원시간4～6 d，평균주원비용（4125±25）원。술후수방1～18개월，술후복발2례，복발솔위1．0％，무기타술후병발증발생。결론복강경하산낭고위결찰술용우인동복고구사산적치료，구유수술시간단、주원시간단、창상소、료효가고등우점，치득엄범응용우림상。
Objective To investigate the clinical efficacy of laparoscopic high ligation of hernia sac,and to evaluate the value of this procedure in clinical practice.Methods From January 201 2 to June 201 3,a total of 1 96 cases of children inguinal hernia admitted to KaShi First People′s Hospital were retrospectively analyzed.All patients received laparoscopic high ligation of hernia sac.The operatng time, length of stay,hospitalization cost,postoperative complications and recurrence,etc.were statistically analyzed.Results The mean operating time in this series was (1 7 ±5 )minutes,the average length of stay was 4 to 6 days,and the mean cost of hospitalization was (4 1 25 ±25 )yuan.After a follow-up period of 1 to 1 8 months, postoperative recurrence occurred in 2 cases (1 .0%), without any complications. Conclusions Laparoscopic high ligation of hernia sac for indirect hernia in children is a safe and effective procedure,which has the advantages of few trauma,short operating time and length of stay,etc.,and should be popularized in practice.