腹腔镜疝囊高位结扎加脐内侧襞覆盖内环口治疗小儿腹股沟斜疝的临床研究

Clinical study of laparoscopic hernial sac high ligation and medial umbilical fold covering internal ring in treating of pediatric indirect inguinal hernia

目的:对比腹腔镜疝囊高位结扎加脐内侧襞覆盖内环口与经腹股沟区疝囊高位结扎术(传统手术)治疗小儿腹股沟斜疝的疗效。方法:2006年1月至2009年12月共行腹腔镜疝囊高位结扎加脐内侧襞覆盖内环口术治疗179例腹股沟斜疝患儿,同期行传统手术治疗小儿腹股沟斜疝169例,对比分析两组临床资料及术后随访情况。结果:两组手术时间、术后住院时间、术后并发症及术后复发率等差异有统计学意义(P<0.05)。结论:腹腔镜疝囊高位结扎加脐内侧襞覆盖内环口术治疗小儿腹股沟斜疝手术时间短,患儿创伤小,术后康复快,并发症少,复发率低,并可同时发现及处理对侧隐性疝,值得临床推广应用。

Objective：To compare curative effects between laparoscopic hernial sac high ligation and medial umbilical fold covering internal ring and open high ligation of the hernial sac（traditional operation） in the treatment of pediatric indirect inguinal hernia.Methods：A group of 179 children with indirect inguinal hernia underwent laparoscopic hernia sac high ligation and medial umbilical fold covering internal ring from Jan.2006 to Dec.2009 and 169 cases were done with traditional operation at the same time.Their clinical data were summarized,compared and analyzed.Results：There were statistically significant differences in the operative time,hospital stay after operations,peri-operative complications and recurrence rate between the laparoscopic group and the traditional group（P0.05）.Conclusions：The laparoscopic hernial sac high higation and medial umbirlical fold covering internal ring for pediatric indirect inguinal hernia has advantages of shorter operation time,less damage,quicker recovery,less complications and lower recurrence rate,and the recessive hernia in the opposite side can be found and dealt with,so it should be used widely.