摘要
目的探讨腹腔镜手术治疗小儿腹股沟嵌顿疝的近远期疗效。方法回顾分析57例接受腹腔镜手术治疗患儿（腹腔镜组）的围手术期情况及术后随访情况，并与同期60例传统手术患儿（对照组）进行比较。结果腹腔镜组患儿手术时间为15—75min，平均（38．7±12．9）min；术中有7例见疝出肠管坏死，扩大脐部切口或经右下腹小切口提出切除并吻合，再行腹腔镜疝囊高位结扎术；术后仅有5例发生阴囊水肿，术后住院时间2～7天，平均3．6天；随访6个月-1年未见本组患儿有复发或继发性睾丸萎缩现象。腹腔镜组手术时间、住院时间均短于对照组（P〈0．05），术后阴囊水肿发生率、切口感染发生率及复发率均低于对照组（P〈0．05）。结论腹腔镜手术治疗d,JL腹股沟嵌顿疝具有创伤小、手术及住院时间短等优点，较传统手术有明显优势。
Objective To discuss the efficacy of the laparoscopic approach to incarcerated inguinal hernia （IIH） in children. Methods Clinical data from 57 IIH patients receiving laparoscopic surgery were analyzed retrospectively. Meanwhile, another 60 IIH patients treated with traditional methods in our hospital were set as a control group. Results The duration of laparoscopic surgery ranged from 15 to 75 rain, with an average of （38.7 -＋ 12.9） rain. Seven of the pa- tients developed intestine or ileocecum necrosis, which part was removed followed by end - to - end anastomosis through expansion of an umbilical incision or a small fight lower quadrant incision. After surgery, only five patients reported sero- tal edema. The duration of hospitalization ranged from 2 to 7 days, with an average of 3.6 days. All child patients receiv- ing laparoscopic approach were followed up from 6 months to 1 year, without recurrence or secondary testicular atrophy. The laparoseopic group presented remarkably shorter duration of operation and hospitalization, as well as lower incidences of postoperative serotal edema and incision infection, compared with the control （ P 〈 0.05 ）. Conclusion Laparoscopic approach to incarcerated inguinal hernia shows obvious advantages due to its small incision, and shorter duration of operation and hospitalization, compared with traditional methods.
出处
《徐州医学院学报》
CAS
2015年第11期804-806,共3页
Acta Academiae Medicinae Xuzhou
关键词
嵌顿性腹股沟斜疝
小儿
腹腔镜
incarcerated inguinal hernia
children
laparoscopy
