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小横切口高位结扎治疗小儿腹股沟斜疝66例体会 被引量:1

Experience of high ligation through small transverse incision in the treatment of 66 cases of indirect inguinal hernia in children
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摘要 目的分析小横切口高位结扎治疗小儿腹股沟斜疝临床应用价值,总结手术经验。方法 2015年1月-2017年12月医院基础外科采用小横切口高位结扎治疗小儿腹股沟斜疝66例,纳入小切口组,选择同期采用传统开放手术处理的对象46例纳入对照组。对比2组手术时间、术中出血量、监护时间、住院时间,并发症发生情况、复发情况。结果小切口组手术时间、监护时间、住院时间均短于对照组(P <0. 01);小切口组切口延迟愈合、持续疼痛、阴囊水肿/肿胀发生率低于对照组(P <0. 01); 2组均未见医源性隐睾以及睾丸萎缩。结论小横切口高位结扎治疗小儿腹股沟斜疝有微创优势,但是对侧新发、复发率仍较高,需要重视术中解剖、术中诊断,规范处理。 Objective To analyze the clinical application value of high ligation through small transverse incision in the treatment of indirect inguinal hernia in children and summarize the experience of operation. Methods From January 2015 to December 2017,66 children with indirect inguinal hernia who underwent high ligation of small transverse incision were selected as the small incision group,and 46 children who underwent traditional operation at the same time were selected as the control group. The operation time,intraoperative bleeding volume,monitoring time,hospitalization time,complications and recurrence were compared between the two groups. Results The operation time,monitoring time and hospitalization time of small incision group were shorter than those of control group (P <0. 01). The incidence of delayed wound healing,persistent pain,scrotal edema or swelling in the small incision group was lower than that in the control group (P <0. 01). There was no iatrogenic cryptorchidism or testicular atrophy in both groups. Conclusion Small transverse incision high ligation minimally invasive surgery has obvious advantages in the treatment of indirect inguinal hernia in children,but the new incidence of the contralateral side of the method and the recurrence rate of the affected side are still high. It is necessary to pay attention to the identification of anatomical structure,intraoperative diagnosis and standardized treatment.
作者 江晓林 詹惠华 陈伟 JIANG Xiao-lin;ZHAN Hui-hua;CHEN Wei(Surgical department,Second Hospital of Nanping City,Fujian 354200,China)
出处 《临床合理用药杂志》 2018年第35期28-29,共2页 Chinese Journal of Clinical Rational Drug Use
关键词 小儿腹股沟斜疝 小横切口 高位结扎 Indirect inguinal hernia in children Small transverse incision High ligation
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  • 1刘嘉林,周汉新,余小舫,鲍世韵,帅建,李明岳,毕建钢.腹腔镜小儿腹股沟斜疝内环缝合联合疝囊高位结扎术[J].中国微创外科杂志,2006,6(2):139-141. 被引量:30
  • 2赵英敏,李龙,马继东,张军,王淑琴.二孔法腹腔镜与开腹手术治疗小儿腹股沟斜疝的比较[J].中国微创外科杂志,2006,6(8):595-596. 被引量:56
  • 3Gorsler CM, Schier F. Laparoscopic herniorrhaphy in children. Surg Endosc, 2003,17(4) : 571-573.
  • 4Weber TR, Tracy TF. Groin hernias and hydroceles. In: Ash- craft KW, Holder KWPdeiatric surgery. 2nd ed. Philadelphia: Saunders, 1993. 563.
  • 5王贵宪.腹外疝.见:张金哲,杨启政,刘贵麟,主编.中华小儿外科学.郑州:郑州大学出版社,2006.459-467.
  • 6Wright JE. Direct inguinal hernia in infancy and childhood. Ped iatr Surg int, 1994, (29)9: 161-164.
  • 7Takehara H, Yakabe S, Kameoka K. Laparoseopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. J Pediatr Surg,2()(16,4l (12) : 1999 2003.
  • 8Fonkalsrud EW, Delorimier AA, Clatworthy HW Jr. Femoral and direct inguinal hernias in infants and children. JAMA, 1965,192 : 597 599.
  • 9Schier F,Klizaite J. Rare inguinal hernia forms in children. Ped- iatr Surg Int,2004,20(10):748-752.
  • 10Steinau G, Treutner KH, Feeken G, et al. Recurrent inguinal hernias in infants and children. World J Surg, 1995,19 (2) : 303- 3O6.

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