腹腔镜下小儿腹股沟斜疝疝囊高位结扎术后早期复发探讨

目的:探讨腹腔镜下小儿腹股沟斜疝疝囊高位结扎术后早期复发的危险因素及其防治体会。方法:应用腹腔镜、自制的带线缝针和体外缝合体外打结技术,为325例小儿腹股沟斜疝行疝囊高位结扎术,总结临床资料进行分析。结果:2例复发,治愈率99.4%,复发率0.6%,无血肿、出血等并发症。结论:应用腹腔镜技术治疗小儿腹股沟斜疝安全、有效。学习曲线期疝复发率高,值得腔镜外科医师尤其是初学者引起高度重视。

Objective： to evaluate children with indirect inguinal hernia sac under laparoscopic ligation of the factors of early postoperative recurrence and its prevention and control experience. Methods： Laparoscopie approach, use self - made line of suture needle and in vitro technology to tie in vitro indirect inguinal hernia in 325 cases of high ligation of hernia sac line, summing up the analysis of clinical data. Results： two cases relapsed, the cure rate of 99. 4% ,0.6% recurrence rate, no hematomas or bleeding complications. Conclusion：The laparoscopic treatment of indirect inguinal hernia in children is safe and effective. Learning curve period of high rate of hernia recurrence, endoscopic surgeons should pay attention to it.