中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2015年
4期
319-322
,共4页
杨坤%吉磊%龚光伟%张建军%罗莉%沈雄山%王俊红%易汉霞%肖航%安振平%邱萌
楊坤%吉磊%龔光偉%張建軍%囉莉%瀋雄山%王俊紅%易漢霞%肖航%安振平%邱萌
양곤%길뢰%공광위%장건군%라리%침웅산%왕준홍%역한하%초항%안진평%구맹
腹腔镜%疝,腹股沟%儿童%睾丸鞘膜积液%高位结扎术
腹腔鏡%疝,腹股溝%兒童%睪汍鞘膜積液%高位結扎術
복강경%산,복고구%인동%고환초막적액%고위결찰술
Laparoscopes%Hernia,inguinal%Child%Testicular hydrocele%High ligation
目的：探讨经脐部两孔腹腔镜手术治疗小儿腹股沟斜疝的可行性及治疗效果。方法回顾性分析2013年12月至2014年12月，湖北省孝感市中心医院行经脐两孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝122例患者资料，总结手术疗效及术后恢复效果。结果所有患儿均成功完成腹腔镜手术。术前诊断为单侧疝111例，双侧疝11例，术中探查发现对侧疝22例。手术时间10～30 min，平均手术时间单侧15 min，双侧20 min。术后随访4～15个月，1例术后并发鞘膜积液再次手术外，其他患者无复发。术后患儿恢复快，切口无瘢痕。结论经脐部两孔腹腔镜手术治疗小儿腹股沟斜疝具有安全、美观、恢复快、术中能够发现对侧疝的好处，值得临床推广，术中应注意预防术后并发症。
目的：探討經臍部兩孔腹腔鏡手術治療小兒腹股溝斜疝的可行性及治療效果。方法迴顧性分析2013年12月至2014年12月，湖北省孝感市中心醫院行經臍兩孔腹腔鏡疝囊高位結扎術治療小兒腹股溝斜疝122例患者資料，總結手術療效及術後恢複效果。結果所有患兒均成功完成腹腔鏡手術。術前診斷為單側疝111例，雙側疝11例，術中探查髮現對側疝22例。手術時間10～30 min，平均手術時間單側15 min，雙側20 min。術後隨訪4～15箇月，1例術後併髮鞘膜積液再次手術外，其他患者無複髮。術後患兒恢複快，切口無瘢痕。結論經臍部兩孔腹腔鏡手術治療小兒腹股溝斜疝具有安全、美觀、恢複快、術中能夠髮現對側疝的好處，值得臨床推廣，術中應註意預防術後併髮癥。
목적：탐토경제부량공복강경수술치료소인복고구사산적가행성급치료효과。방법회고성분석2013년12월지2014년12월，호북성효감시중심의원행경제량공복강경산낭고위결찰술치료소인복고구사산122례환자자료，총결수술료효급술후회복효과。결과소유환인균성공완성복강경수술。술전진단위단측산111례，쌍측산11례，술중탐사발현대측산22례。수술시간10～30 min，평균수술시간단측15 min，쌍측20 min。술후수방4～15개월，1례술후병발초막적액재차수술외，기타환자무복발。술후환인회복쾌，절구무반흔。결론경제부량공복강경수술치료소인복고구사산구유안전、미관、회복쾌、술중능구발현대측산적호처，치득림상추엄，술중응주의예방술후병발증。
Objective To explore the feasibility and outcome of trans-umbilical double ports laparoscopic operation in children′s indirect inguinal hernia .Methods 122 children with indirect inguinal hernia who underwent trans-umbilical double ports laparoscopic hernia sac high ligation in Xiaogan Central Hospital, from December 2013 to December 2014, were retrospectively analyzed to summarize the clinical outcome.Results All children were successfully completed with the laparoscopic surgery .As preoperative diagnosis, there were 11 cases bilateral hernia and 111 cases of unilateral hernia , in which 22 cases of contralateral hernia were found during the operations .Meanwhile, the operating time ranged from 10 to 30 min, with mean of 15 min and 20 min in unilateral hernia and bilateral hernia , respectively.After 4 to 15 months of follow-up, only 1 cases of hydrocele needed a re-operation, and no recurrence were found . All children recovered rapidly , with no incisional scar .Conclusion Trans-umbilical double ports laparoscopic operation for indirect inguinal hernia in children has the benefits of being safe , cosmetic, rapid recovery and in favor of discovering the occult hernia .This technique is worth clinical promotion , while attentions should be paid to prevent postoperative complications .
