CAJ | 학술논문

目的采用一种自制“小儿疝囊闭合器”的封堵技术来治疗小儿腹股沟疝.方法插管全身麻醉下,通过脐部10mm单孔置入镜头和“小儿疝囊闭合器”,从腹股沟管外环和内环体表对应处,用特制针从这两处分别穿刺入腹腔将闭合器上的定位线从腹股沟管内拉出,2根固定线也从腹腔拉出,牵拉定位线使闭合器由内向外充填腹壁缺损后,在体外将两根固定线打结皮下固定闭合器完成疝囊的关闭.结果从2011年12月至2013年09月对37例38侧小儿疝实施了手术.37例术后出院时,腹股沟区域均无红肿和硬节存在,35例男性阴囊无水肿;仅1例术后9d回访时见脐部切口出现红肿.全部随访,随访最长时间为21个月,最短3个月,平均随访为(14.6±5.89)个月,无术后疝复发,腹股沟区无明显瘢痕和硬节存在.结论此手术是一种创伤小、操作快捷方便、技术简单实用、治疗安全有效的微创技术.
목적 채용일충자제“소인산낭폐합기”적봉도기술래치료소인복고구산.방법 삽관전신마취하,통과제부10mm단공치입경두화“소인산낭폐합기”,종복고구관외배화내배체표대응처,용특제침종저량처분별천자입복강장폐합기상적정위선종복고구관내랍출,2근고정선야종복강랍출,견랍정위선사폐합기유내향외충전복벽결손후,재체외장량근고정선타결피하고정폐합기완성산낭적관폐.결과 종2011년12월지2013년09월대37례38측소인산실시료수술.37례술후출원시,복고구구역균무홍종화경절존재,35례남성음낭무수종;부1례술후9d회방시견제부절구출현홍종.전부수방,수방최장시간위21개월,최단3개월,평균수방위(14.6±5.89)개월,무술후산복발,복고구구무명현반흔화경절존재.결론 차수술시일충창상소、조작쾌첩방편、기술간단실용、치료안전유효적미창기술.
Objective To explore the feasibility of treating pediatric inguinal hernia with self-developed plugging pediatric hernia sac closer.Methods Under general anesthesia intubation,through a 10 mm puckering in umbilical region,lens and pediatric hernia sac closer were inserted.And a special puncture needle was guided from the corresponding places of outer and inner rings of inguinal canal surface into abdominal cavity.Then the positioning lines were pulled out from inguinal canal and knotted for closing abdominal wall defects.Results From December 2011 to March 2013,37 cases (38 sides) of inguinal hernia were treated surgically.At discharge,neither redness nor hardness was found in all groin areas.Thirty-five cases had no scrotal edema and only 1 case showed umbilical incision redness at Day 9 post-operation.During a follow-up period of 14.6 ± 5.89 months,neither recurrence of hernia nor obvious scarring or hardness occurred in groin area.Conclusions The pediatric hernia sac closer is both feasible and safe in the treatment of pediatric inguinal hernia.