脐缘双通道腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝

doi:10.6040/j.issn.1671-7554.0.2015.1059

摘要/Abstract

摘要： 目的探讨经脐缘双通道腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的疗效。方法回顾性分析2014年9月~2015年5月脐缘双通道腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝112例临床资料。其中术前诊断右侧腹股沟斜疝81例,左侧23例,双侧8例。经脐左右缘皮肤皱褶处双通道行腹腔内缝合疝囊高位结扎术,探查并处理对侧,评估手术疗效。结果所有手术均在腹腔镜操作下完成,无中转开放。术中探查见右侧患病对侧鞘状突未闭31例,左侧患病对侧鞘状突未闭11例。手术时间:右侧平均22.7 min,左侧平均30.4 min,双侧平均43.2 min。术后恢复顺利,第2日即可下床活动,无明显疼痛感。随访3个月未见复发病例,无脐疝发生,无睾丸萎缩,瘢痕几乎不可见。结论脐缘双通道腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝疗效确切,瘢痕更隐蔽,对脐环及腹股沟管结构创伤小,恢复快,具有推广意义。

关键词: 脐缘双通道, 腹股沟斜疝, 腹腔镜

Abstract: Objective To explore the clinical efficacy of transumbilical double-port laparoscopic high ligation of hernia sac in the treatment of pediatric indirect inguinal hernia in children. Methods Clinical data of 112 children with indirect inguinal hernia who underwent transumbilical double-port laparoscopic during Sept. 2014 and May 2015 were retrospectively analyzed. Preoperative diagnosis decided that 81 cases had hernia on the right side, 23 cases on the left, and 8 cases on both sides. Results All operations were completed with the laparoscope, and no case turned to open operation. Of the 81 cases which were diagnosed to have hernia on the right side, 31 were found to have contralateral patent processus vaginalis. Of the 23 cases which were diagnosed to have hernia on the left side, 11 had contralateral patent processus vaginalis. The operation time was 22.7 mins, 30.4 mins, and 43.2 mins for hernia on the right side, left side and bilateral sides. All patients recovered well. No complications such as umbilical hernia and orchiatrophy occurred. The scars were almost invisible. Conclusion It is safe and feasible to treat pediatric indirect inguinal hernia by transumbilical double-port laparoscopic high ligation of hernia sac. It is minimal invasive and patients can recover rapidly. Therefore, it is worth wide clinical use.

Key words: Transumbilical double-port, Indirect inguinal hernia, Laparoscopic

中图分类号:

R726.1

陈帅,胡元军,武玉睿,张士松,王合锋. 脐缘双通道腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝[J]. 山东大学学报（医学版）, 2016, 54(4): 74-77.

CHEN Shuai, HU Yuanjun, WU Yurui, ZHANG Shisong, WANG Hefeng. Treatment of transumbilical double-port laparoscopic high ligation of hernia sac on pediatric indirect inguinal hernia[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(4): 74-77.

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