CAJ | 학술논문

目的：探讨腹腔镜双荷包加缝脐内侧襞内环口高位结扎治疗小儿腹股沟巨大疝的效果及临床价值。方法选择本院2010年4月至2013年8月收治的167例小儿腹股沟巨大疝患儿作为观察对象；其中2010年4月至2012年1月收治的72例实施腹腔镜下内环口双重结扎术（为 A 组）；2012年2月至2013年8月收治的95例实施腹腔镜双荷包加缝脐内侧襞内环口高位结扎术（为 B 组）；比较两组患儿术后并发症及随访复发情况。结果两组均顺利完成手术，在术后伤口出血、切口感染、线结反应等方面比较，差异无统计学意义（P ＞0.05）；经术后1～3年随访，A 组有 5例复发，B 组无一例复发，差异有统计学意义（P ＜0.05）。结论腹腔镜双荷包加缝脐内侧襞内环口高位结扎治疗小儿腹股沟巨大疝可减少术后复发，提高治愈率。
목적：탐토복강경쌍하포가봉제내측벽내배구고위결찰치료소인복고구거대산적효과급림상개치。방법선택본원2010년4월지2013년8월수치적167례소인복고구거대산환인작위관찰대상；기중2010년4월지2012년1월수치적72례실시복강경하내배구쌍중결찰술（위 A 조）；2012년2월지2013년8월수치적95례실시복강경쌍하포가봉제내측벽내배구고위결찰술（위 B 조）；비교량조환인술후병발증급수방복발정황。결과량조균순리완성수술，재술후상구출혈、절구감염、선결반응등방면비교，차이무통계학의의（P ＞0.05）；경술후1～3년수방，A 조유 5례복발，B 조무일례복발，차이유통계학의의（P ＜0.05）。결론복강경쌍하포가봉제내측벽내배구고위결찰치료소인복고구거대산가감소술후복발，제고치유솔。
Objective To explore the effect and value of laparoscopic double purse-string plus suture with medical umbilical flap high ligation of internal ring in treatment of giant inguinal hernia in children. Methods 167 cases of children admitted to our hospital in April 2010 to August 2013 with giant inguinal her-nia as the observation object of this study were selected;from April 2010 to January 2012,72 cases of children with giant inguinal hernia were treated with laparoscopic double high ligation of internal ring(group A);from February 2012 to August 2013,95 cases of children with giant inguinal hernia were treated with laparoscopic double purse-string plus suture plus medical umbilical flap high ligation of internal ring(group B);The postop-erative complication and recidivation of follow-up were compared between the two groups.Results Two groups of children were successfully completed surgery.In the hemorrhage of incisional wound,infection of incisional wound,reaction of silk thread after surgery,there was no statistically significant difference (P >0.05).But af-ter surgery and 1 ~3 years follow-up,5 relapse cases were foundoccurred in group A and no relapse occurred in group B.In recurrence rate of two groups of children,there were differences and there was statistical signifi-cance (P <0.05). Conclusions Laparoscopic double purse -string plus suture with medical umbilical flap high ligation of internal ring in treatment of giant inguinal hernia in children can reduce the recurrence rate and improve the cure rate.