日间手术治疗5633例小儿腹股沟疝分析

An analysis of 5633 cases of day-time minimal incision herniorraphy for pediatric inguinal hernia

目的总结近10年来采用开放式微小切口手术方式治疗小儿腹股沟疝的疗效。方法回顾性分析湖北医药学院附属东风医院胃肠小儿外科2007年1月至2016年12月期间,5 633例(6 070侧)小儿腹股沟疝日间手术的临床资料。结果患儿住院时间8~24h,平均(9.51±2.34)h。32例因术后阴囊血肿而行二期手术,精索粘连导致睾丸上提6例。随访12个月,有效随访4 078例(72.39%),复发28例(0.50%,28/5 633)。结论日间进行微小切口手术治疗小儿腹股沟疝能够取得良好效果。

Objective To summarize the experience of day-time minimal incision herniorrhaphy for pediatric inguinal hernia in recent 10 years.Methods A retrospective analysis was done from Jan.2007 to Dec.2016 on the clinical data of 5 633 pediatric inguinal hernia undergoing day-time surgery.Results Length of hospital stay ranged from 8 h to 24 h（mean 9.51±2.34 h）.Thirty-two cases reoperated because of seroma.Inguinal cryptorchidism occurred in 6 cases due to spermatic cord adhesion.4 078 cases were followed up for 12 months effectively post-operation.There were 28 recurrent cases（0.50%,28/5 633）.Conclusions The day-time minimal incision herniorrhaphy was effective for pediatric inguinal hernia.