针孔式切口治疗腹股沟斜疝180例

Pinhole Incision on Indirect Inguinal Hernia High Ligation in 180 Children

目的 探讨小儿腹股沟斜疝的外科微创治疗方法。方法 采用针孔式切口行小儿腹股沟斜疝高位结扎术 1 80例 ,其中 1 2 8例术后得以随访 ,并进行总结。结果 1 80例患儿手术顺利 ,手术操作时间平均 2 0min。术中血少 ,术后均恢复良好。术后住院时间平均 3d。 1例术后 1周内复发 ,2例术后 0 .5年内复发 ,无切口感染、出血及阴囊积液、积血等并发症发生。结论 针孔式切口行小儿腹股沟斜疝高位结扎术适合小儿腹股沟斜疝患者 ,尤其是 2岁以下患者治疗。

Objective Study on treatmental method of surgical micro-trauma to indirect inguinal hernia in children.Methods Analyzing the experience in 180 cases (128 of them followed up after operation ) with indirect inguinal hernia in children done by high ligation with pinhole incision.Results The operations on 180 cases were successful and lasted 10～40 minutes,averaged 20 minutes. All the cases were, no bleeding nearly in these operations. The patients stayed in hospital for 1-7 days, averaging 3 days.One case in 1 week and 2 cases in half a year relapsed after the operation. There were no complications in the scrotum.Conclusions The operation was so small as to make light damage to the groin and the tissues nearby. The skin opening needs no stitching .The scar is invisible, which exactly agrees with what the aesthetics requires. This methods is suitable for children with indirect inguinal hernia, especially for small children under the age of 2 years.