摘要
目的:探讨疝手术时,经疝囊行腹腔镜腹腔探查、活检、治疗的可行性及必要性。方法:为12例术中偶见疝囊壁病变、囊内腹水、术前伴有不明原因慢性腹痛、阑尾炎术后有粘连性肠梗阻发作史的疝患者行腹腔镜经疝囊腹腔探查术,回顾分析其临床资料。结果:本组12例中2例疝囊壁病变、1例囊内腹水、4例慢性腹痛、1例阑尾炎及4例有肠梗阻病史患者,经腹腔镜手术和/或后续治疗后治愈或病情稳定,无腹痛及梗阻复发。结论:疝手术过程中对偶见疝囊壁病变、囊内腹水、术前伴有不明原因的慢性腹痛、术前有阑尾炎及手术所致粘连性肠梗阻发作史的患者,行经疝囊腹腔镜探查、取材并镜下治疗可使患者得到正确的诊治。
Objective ： To explore the feasibility and necessity of laparoscopic exploration of abdomen, biopsy, operation via hernial sac during the period of operation for abdominal external hernia. Methods：The clinical data of 12 patients with hernia underwent surgery in our hospital since 2004 were analyzed retrospectively. With hernia sac lesions, ascites in the hernia sac ,unexplained chronic abdominal pain, appendicitis and operation related adhesive intestinal obstruction attack history, these patients underwent laparoscopic exploration of abdomen, biopsy, and treatment via hernial sac during the course of hernial operation. Results：The causes of 2 cases with hernial sac lesions, 1 case of ascites in the hernia sac ,4 cases of chronic abdominal pain, 1 case with appendicitis history and 4 cases with surgical adhesive intestinal obstruction attack history were found and treated simultaneously by laparoscopy or successive medical treatment. The whole group had satisfactory curative effects. Conclusions： The patients with hernia sac lesions, ascites in the hernia sac, unexplained chronic abdominal pain, appendicitis history and surgery related adhesive intestinal obstruction attack history, underwent laparoscopic exploration of abdominal cavity,biopsy and operation via hernial sac during the course of hernial operation can be diagnosed and treated correctly.
出处
《腹腔镜外科杂志》
2009年第5期372-373,共2页
Journal of Laparoscopic Surgery
关键词
疝
腹股沟
疝囊
腹腔探查
腹腔镜术
Hernia, inguinal
Hernial sac
Abdominal exploration
Laparoscopy
