经脐微型腹腔镜内环高位结扎术联合包皮环套术的临床应用

Clinical application of transumbilical mini-laparoscopic high ligation of inner ring combined with circumcision

目的：探讨经脐微型腹腔镜下内环高位结扎术联合包皮环套术治疗小儿腹股沟疝、精索鞘膜积液及包茎的可行性及优点。方法：对470例腹股沟疝、精索鞘膜积液、包茎患儿先施行经脐微型腹腔镜下内环高位结扎术,随后行包皮环套术。结果：患儿均顺利完成腹腔镜下内环高位结扎术及包皮环套术。术后恢复顺利,随访1~10年,腹股沟疝、精索鞘膜积液无复发。结论：经脐微型腹腔镜下内环高位结扎术治疗小儿腹股沟疝、精索鞘膜积液较传统手术方法具有创伤小、美观、手术操作简便、手术时间短、并发症少、术后康复快等优点。同时联合包皮环套术后容易清洗、护理,避免了二次手术与麻醉,减少了治疗费用,减轻了患儿的痛苦,是安全、可行的。

Objective： To explore the feasibility and advantages of transumbilical mini-laparoscopic high ligation of inner ring combined with circumcision in the treatment of pediatric inguinal hernia,hydrocele of spermatic cord and phimosis. Methods： Four hundred and seventy children with inguinal hernia,hydrocele of spermatic cord and phimosis firstly underwent transumbilical mini-laparoscopic high ligation of inner ring,which were followed by circumcision. Results： All the laparoscopic high ligations and circumcisions were successfully completed. The postoperative recovery was uneventful,patients were followed up for 1 to 10 years without recurrence of inguinal hernia or hydrocele of spermatic cord. Conclusions： Transumbilical mini-laparoscopic high ligation of inner ring in the treatment of inguinal hernia and hydrocele of spermatic cord has advantages of few trauma and complications,satisfying cosmetic result,simple operation,short operative time and quick recovery. This procedure combined with circumcision is safe and feasible,easy to wash and nurse,avoids second operation and anesthesia,decreases the expense and pain.