小儿腹股沟疝小切口疝囊高位结扎589例手术体会

Surgical experience of small incision high ligation hernia repair in children: a report of 589 cases

目的探讨小儿腹股沟疝,采用外环口小切口疝囊高位结扎术的临床应用。方法回顾性分析陕西省第四人民医院2014年3月至2015年4月,应用外环口小切口疝囊高位结扎589例患儿的临床资料。结果 589例患儿均成功完成手术,手术时间3~5 min,平均时间4 min,术中出血量〈1 ml或几乎无出血。均在手术当天出院（术后4~6 h）。术后随访2~15个月,阴囊血肿3例,阴囊轻度血清肿及水肿19例,均未做特殊处理,15 d自行消退,无切口感染,目前无复发患者。结论小儿腹股沟疝采用外环口小切口疝囊高位结扎,是一种创伤小、疼痛轻、恢复快、瘢痕小、安全、有效的手术方式。值得在基层医院广泛推广。

Objective To investigate clinical application of small incision high ligation repair for pediatric inguinal hernias. Methods A retrospective analysis was conducted on 589 cases of small incision high ligation repair from March 2014 to April 2015,in the fourth People＇s Hospital of Shanxi. Results The589 cases were successfully completed surgery. The operation times was 3 to 5 minutes,mean of 4 minutes;blood loss was less than 1 ml or almost no bleeding; they were discharged on the day of surgery（ at 4 to6 hours after surgery）. After postoperative follow-up of 2 to 15 months,there were 3 cases of scrotal hematoma,19 cases of scrotal seroma or edema. All of them were improved,without any special treatment,in 15 days. No wound infection and no recurrence occurred. Conclusion The small incision high ligation repair for inguinal hernia in children is a small trauma,less pain,faster recovery,minimally invasive,safe and effective procedure. It is worthy of promotion in primary hospitals.