微型腹腔镜治疗小儿非腹腔型隐睾合并腹股沟斜疝18例体会

EXPERIENCE IN TREATING 18 CASES INFANT NON-INTRAPERITONEAL UNDESCENDED TESTIS COMPLICATED WITH GROIN OBLIQUE HERNIA BY MEANS OF MINITYPE PERITONEOSCOPE

目的探讨微型腹腔镜治疗小儿非腹腔型隐睾合并腹股沟斜疝的方法及疗效。方法2009年6月～2010年2月对18例小儿非腹腔型隐睾合并腹股沟斜疝应用微型腹腔镜行隐睾探查、下降固定术及内环口关闭术。结果16例镜下降松解精索、下降固定睾丸,1例转腹股沟切口下降固定睾丸,1例镜下行睾丸切除术。18例均在腹腔镜下行内环口结扎。术后恢复良好,无出现并发症。结论腹腔镜下内环口关闭、隐睾探查及下降固定术治疗小儿非腹腔型隐睾合并腹股沟斜疝疗效肯定,手术创伤小,恢复快,并发症少,值得临床推广应用。

Objective Probe into the method and curing effect of minitype peritoneoscope on infant non - intraperitoneal undescended testis complicated with groin oblique hernia. Methods From June 2009 to February 2010, 18 cases infant non - intraperitoneal undescended testis complicated with groin oblique hernia were treated with minitype peritoneoscopy to explore testis, descend and fix testis, close the orifice of internal ring. Results In 16 cases spermatic cord released and descended, testis descended and fixed. One case testis was transferred to groin incision then descended and fixed. One case testis was removed via peritoneoscope. All 18 cases carried out internal ring orifice ligation via peritoneoscope. Restoration is good after operation, with no complication. Conclusion The curing effect of peritoneoscopy to dose internal ring orifice, to explore concealed testis as well as to descend and fixe testis are affirmed, with the priority of smaller operative hurt, quickly restoration and less complication, so is worthy to popularized.