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微型腹腔镜治疗学龄前小儿腹股沟疝:附212例报告 被引量:10

Mini-laparoscope for treatment of inguinal hernia in preschool children:a report of 212 cases
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摘要 目的探讨腹腔镜手术在小儿腹股沟疝治疗的临床效果。方法在全麻下用微型腹腔镜对212例0.5~6岁,平均5.3岁的小儿腹股沟疝进行治疗,对有肠管嵌顿者于肠管还纳,并检查肠管有无缺血、坏死、溃破,行内环口高位结扎。结果212例小儿腹股沟疝均在微型(直径0.3cm)腹腔镜下完成疝囊高位结扎,无需行肠切除者。212例患儿随访0.5~2年,平均1.2年,无复发病例。结论微型腹腔镜子术治疗小儿腹股沟疝安全可行,创伤小,恢复快。 Objective To evaluate the clinical efficacy of laparoscopic surgery for treatment of inguinal hernia in children. Methods Under general anesthesia and using a mini-laparoscope, 212 children cases of inguinal hernia were treated. The age was 0. 5 - 6 ( avarage 5. 3 ) years. In cases of bowel incarceration, the intestine was reduced, and the bowel was checked for ischemia, necrosis and ulceration, and the internal inguinal ring was highly ligated. Results All the 212 patients with inguinal hernia had hernia sac ligation with mini-size (diameter 0. 3era ) laparoscope. None had intestinal resection. The 212 children had follow-up of 0. 5-2 years, average of 1. 2 years, with no recurrent cases. Conclusions The mini-laparoscope for inguinal hernia surgery in children is feasible and safe, with little trauma and rapid recovery.
出处 《中国普通外科杂志》 CAS CSCD 北大核心 2010年第4期403-405,共3页 China Journal of General Surgery
关键词 腹股沟 腹腔镜 儿童 学龄前 Hernia, Inguinal Laparoscopes Child, Preschool
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