腹腔镜治疗小儿腹股沟斜疝的临床应用

Clinical application of the laparoscopic treatment of children's indirect inguinal hernia

目的:探讨腹腔镜治疗小儿腹股沟斜疝的应用价值。方法:总结分析腹腔镜治疗小儿腹股沟斜疝28例的临床资料。结果:28例手术均获成功,手术时间15～40min,平均25min,术后6h可进流质饮食,次日下床活动,术后3～5d出院,3例戳口周围小面积皮下气肿,2d后完全吸收。随访2～48个月无复发。结论:腹腔镜治疗小儿腹股沟斜疝操作简单、安全、有效,手术时间短,恢复快,创伤小,无需拆线,住院时间短,不易损伤精索、血管,值得临床推广应用。

Objective：To explore the value of the laparoscopic treatment of the children＇s indirect inguinal hernia. Methods： The clinical data of 28 children with indirect inguinal hernia underwent laparoscopy were summarized and analyzed. Results： Twenty- eight cases of operation were successful. In the follow-up of 2-48 months, no recurrence occurred. Conclnsions：The laparoscopic treatment of children＇s indirect inguinal hernia is safe, simple, effective, difficult to injure spermatic cord and blood vessel, quick recovery, micro-trauma, short hospital stay and without sutures out. worthy of clinical application.