一孔法腹腔镜手术治疗小儿腹股沟嵌顿疝22例

One hole method of laparoscopic surgery in emergency treatment of the incarcerated inguinal hernia in children

目的探讨一孔法腹腔镜手术在治疗小儿腹股沟嵌顿疝中的应用价值。方法全麻后在腹腔镜辅助下手法复位嵌顿疝，采用一孔法行腹腔镜疝囊高位结扎术。结果22例小儿嵌顿疝均行一孔法腹腔镜手术完成疝囊高位结扎，无手术并发症发生。18例患儿随访3～15个月，平均9．3个月，无复发，4例失访。结论一孔法腹腔镜手术治疗小和腹股沟嵌顿疝安全可行，创伤小，恢复快、医疗风险小。

Objective To evaluate the application value of the emergency laparoscopic surgery in incar- cerated inguinal hernia of children. Methods Manual reduction of incarcerated hernia was laparoscopic- assisted after anesthesia, high-ligation of hernia sac was done by one hole method of laparoscopic treatment. Results All of 22 cases of pediatric incarcerated hernia were done, no complications occurred. Eighteen patients were followed up for 3 - 15 months, 9.3 months on average, without serious complications. Conclusions The emergency laparoscopie surgery in children of incarcerated inguinal hernia is safe and feasible, with smaller trauma, quicker recovery and smaller health risk.