摘要
目的：探讨腹腔镜手术治疗小儿难复性腹股沟嵌顿疝的近、远期疗效。方法：回顾分析2011年2月至2012年11月为13例患儿行腹腔镜手术（腹腔镜组）的围手术期情况及术后随访情况。选取同组医师完成的13例传统嵌顿疝松解术作为对照组。结果：腹腔镜组手术时间15—60min，平均（35．0±13．5）min；术中2例见疝出肠管坏死，扩大脐部切口提出后行肠吻合，再行腹腔镜疝囊高位结扎术；术后第1天仅2例发生轻度阴囊水肿，术后住院2—3d；随访至术后1年，无复发及继发性睾丸萎缩。两组手术时间、术后阴囊水肿发生率、住院时间差异均有统计学意义（P〈0．05）。结论：腹腔镜手术治疗小儿难复性腹股沟嵌顿疝安全、有效，与传统开放手术相比，具有复位快、创伤小、手术时间及住院时间短等优势，具有一定的临床应用价值。
Objective： To explore the short-term and long-term effects of laparoscopie approach for the treatment of incarcerated inguinal hernia （IIH） in children. Methods ：The perioperative and postoperative follow-up data of 13 patients with IIH who underwent laparoscopic surgery between Feb. 2011 and Nov. 2012 were analyzed retrospectively. Besides, 13 cases of IIH who underwent traditional surgery by the same group of surgeons were selected as control group. Results： The mean operation time of laparoscopic procedure was 15-60 min ,mean （35.0 ＋ 13.5 ） min. Two patients developed intestine necrosis and thus received intestinal resection and anastomosis through expanded umbilical incision before laparoscopic high ligation of hernial sac. The hospital stay after sugery was 2-3 d, and only 2 cases had slightly serotal edema on the first day after surgery. During the follow-up of 1 year, no recurrence or secondary atrophy of testis occurred. There were significant differences in operative time ,the incidence of postoperative scrotal edema and hospital stay between the two groups （ P 〈 0.05 ）. Conclusions ： Laparoseopie approach for the treatment of pediatric incarcerated inguinal hernia is safe and fea- sible. It has important clinical application value because of its advantages of smaller trauma, shorter operation time and hospital stay, as well as quicker recovery compared with traditional surgery.
出处
《腹腔镜外科杂志》
2014年第5期379-381,共3页
Journal of Laparoscopic Surgery
关键词
疝
腹股沟
嵌顿
腹腔镜检查
儿童
Hernia, inguinal
Incarcerated
Laparoscopy
Child
