微型腹腔镜下治疗小儿腹股沟斜疝72例临床分析

Clinical Application Research of Microlaparoscopic Treament for Indirect Inguinal Hernia in Children(a report of 72 cases)

目的:探讨采用微型腹腔镜治疗小儿腹股沟斜疝的应用价值。方法:回顾性分析72例采用微型腹腔镜下内环缝扎术的小儿腹股沟斜疝病例,单侧58例,双侧14例,术中发现9例单侧斜疝合并对侧隐匿性斜疝。结果:本组病例均在微型腹腔镜下顺利完成,手术时间平均单侧10min,双侧16min,无并发症发生,随诊2～12个月未见复发。结论:微型腹腔镜下内环口缝扎术切口小,创伤小,手术操作简单,手术时间短,恢复快,术后无需缝线,术后无瘢痕,无复发,并可同时发现并处理对侧隐性斜疝或内环口未闭,值得临床推广应用。

Objectives:To evaluate microlaparoscopic herniotomy for indirect inguinal hernia in children.Methods:The clinical data of 72 cases were analyzed retrospectively,58 cases had unilateral indirect inguinal hernia,and 14 cases had bilateral indirect inguinal hernia,9 cases had contralateral latent hernia in the unilateral hernias.Results: The operation was successful in all of the 72 cases.The mean operation time was 10 min in unilateral indirect inguinal hernia,16 min in bilateral indirect inguinal hernia.and the hospitalization after operation was two days.No complication occurred in these cases.No recurrence was found at a followed 3～12 months. Conclusions:Microlaparoscopic herniotomy resulted in smaller incision,short operative duration,speedy recovery and no recurrence,the contralateral latent hernia could be explored and managed similarly . The procedure is worth being promoted clinically .