腹腔镜手术治疗小儿腹股沟嵌顿性斜疝33例分析

Laparoscopic Operation in the Treatment of Infantile Incarcerated Oblique Inguinal Hernia:An analysis of 33 cases

目的:探讨腹腔镜治疗小儿腹股沟嵌顿性斜疝的临床价值。方法:回顾分析2009年7月-2011年9月笔者所在医院33例应用腹腔镜手术治疗小儿腹股沟嵌顿性斜疝患儿的临床资料,并与45例传统开放手术相比较。结果:33例均在腹腔镜手术下完成,与传统开放手术患儿比较,腹腔镜组手术时间短,术后肛门排气时间较早,住院时间较短,术后并发症的发生率低于传统开放手术组,两组比较,差异有统计学意义(P<0.01或P<0.05)。结论:腹腔镜手术治疗小儿腹股嵌顿性斜疝是一种安全有效的微创手术方法。

Objective： To explore the clinical application value of laparoscopic operation in infantile incarcerated oblique inguinal hernia. Methods： A retrospective analysis of 33 cases from July 2009 to September 2011 receiving laparoscnpic operation in the treatment of incarcerated inguinal hernia in children were conducted, compared with 44 cases using traditional open operation. Results： All 33 patients undertook laparoscopic operation. It had advantages of shorter operation time, postoperative anal exhaust time earlier, and a shorter hospital stay, postoperative complication rate was lower than that of the traditional open operation. The differences were statistically significant（P〈0.01 or P〈0.05）. Conclusion： The laparoscopic operation is a safe and effective minimally invasive operation method in the treatment of pediatric inguinal incarcerated hernia.