硬膜外穿刺针外套管在腹腔镜小儿斜疝高位结扎术中的应用

The Application of Outer Thimble of Epidural Anesthesia Needle in Laparoscopic High Ligation for Indirect Inguinal Hernia in Children

目的探讨硬膜外穿刺针外套管在腹腔镜小儿斜疝疝囊高位结扎中的应用价值。方法2003年4月-2006年5月,我院对230例小儿斜疝手术应用硬膜外穿刺针外套管代替雪橇钩针实施腹腔镜疝内环口荷包高位结扎术。结果230例手术均获得成功,手术时间：单侧161例8-10 min,嵌顿疝39例15-20 min,双侧30例16-20 min;术后未见有阴囊水肿及睾血疼痛及缺血坏死。术后随访2-6个月111例,6-12个月52例,12-24个月37例,24-36个月30例,无复发。结论硬膜外刺针外套管可替代小儿疝囊结扎专用的雪橇钩针,简便,经济,适合在所有基层医院推广。

Objective To assess the value of outer thimble of epidural anesthesia needle in laparoscopic high ligation for indirect inguinal hernia in children. Methods From April 2003 to May 2006, outer thimble of epidural anesthesia needle, instead of sledge-like hook needle, was utilized in 230 cases during laparoscopic high ligation for indirect inguinal hernia in chilren. Results All the operations on 230 patients were successfully performed. The operation time was 8 - 10 minutes in 161 patients with unilateral hernia, 15 -20 minutes in 39 patients with incarcerated hernia, 16 -20 minutes in 30 patients with bilateral hernia. Edema of scrotum, testis pain and ischemia were not found after operation. Follow-up for 2 -6 months in 111 cases, 6 - 12 months in 52 cases, 12 -24 months in 37 cases,24 - 36 months in 30 cases showed no recurrence. Conclusions Outer thimble of epidural anesthesia needle can be substituted for sledge-like hook needle in children hernia high ligation, with the advantages of simple procedure and economy.