腹腔镜手术治疗小儿腰疝的临床研究

Laparoscopy for lumbar hernia in children

目的探讨腹腔镜手术在治疗小儿腰疝治疗中的安全性、可行性及优越性。方法本组9例小儿腰疝患儿,男4例,女5例;年龄1岁6个月至10岁,平均年龄4岁;7例发生于腰下三角,2例发生于腰上三角。6例发生于左侧腰部,3例发生于右侧腰部。均采用腹腔镜微创手术,行腹腔镜下腰疝修补术。结果本组9例患儿均成功完成腹腔镜手术,手术顺利,无术中大出血、无术中及术后输血、无意外损伤及围手术期死亡病例发生。手术效果好,治愈出院。平均住院时间5 d。术后随访1~8年,无明显远、近期并发症发生。结论腹腔镜手术是治疗小儿腰疝的安全、可靠的方法,具有创伤小,恢复快,美容效果满意等优势,值得临床推广。

Objective To explore the safety,feasibility and superiority of laparoscopy for lumbar hernia in children.Methods There were 4 boys and 5 girls with an average age of 4(1.5-10)years.The location of lumbar hernia was in lower lumbar triangle(n=7)and upper lumbar triangle(n=2).And the involved waist was left(n=6)and right(n=3).Laparoscopic mini-invasive herniorrhaphy was performed.Results All laparoscopic procedures were successful and curative.There was no onset of intraoperative massive hemorrhage,intraoperative or postoperative blood transfusion,unintentional injury or perioperative death.The average hospitalization stay was 5 days.During a follow-up period of 1-8 years,there was no onset of short/long-term complications.Conclusions Laparoscopy is both safe and reliable for treating lumbar hernia in children.With the advantages of minimal trauma,rapid recovery and satisfactory cosmetics,it is worthy of wider clinical promotions.