腹腔镜治疗小儿滑动性腹股沟斜疝的回顾性分析

Retrospective analysis of laparoscopic in pediatric patients with sliding inguinal hernia

目的回顾分析并探讨腹腔镜治疗小儿滑动性腹股沟斜疝的手术方式及可行性。方法回顾我院2012年1月至2017年12月经腹腔镜治疗的小儿滑动性腹股沟斜疝患者26例,记录并分析手术时间、术中出血量、术后并发症、住院时间、术后复发情况等。结果所有患儿均完成腹腔镜下手术治疗,无中转开腹者,手术时间(42.21±6.56)min,术中出血量(16.23±3.25)ml,无明显并发症发生,住院时间(3.07±0.64)d,所有患者出院时均达到临床治愈标准,随访至今均未见复发。结论综合分析各项数据,腹腔镜治疗小儿滑动性腹股沟斜疝临床效果满意,是一种安全可靠的方法。

Objective To explore the method and feasibility of laparoscopic in pediatric patients with sliding inguinal hernia by retrospectively analysis.Method A total of 26 cases of pediatric patients with sliding inguinal hernia treated by laparoscopy in our hospital were reviewed from January 2012 to December 2017.The operation time,blood loss,postoperative complications,length of stay and recurrence were analyzed.Results All the patients were treated with laparoscopy,without conversion to laparotomy.The operation time was(42.21±6.56)min.,the blood loss was(16.23±3.25)ml.There was no obvious postoperative complication,and the length of stay was(3.07±0.64)days.All patients were cured when they were discharged from the hospital and without recurrence followed up until now.Conclusion Laparoscopic is a satisfactory,safe and reliable method for pediatric patients with sliding inguinal hernia.