摘要
目的:探讨腹腔镜治疗小儿腹股沟斜疝并发症的预防手段。方法:回顾分析我院2010年4月～2011年2月行腹腔镜治疗218例小儿斜疝临床资料。结果:218例小儿斜疝患者均在腹腔镜下完成疝内环口高位结扎术,每侧手术时间8～15 min,平均8 min,术后1～2 d出院。术中1例内环口与大网膜粘连严重,中转开放手术,无阴囊血肿。术中探查发现对侧隐匿性疝41例,一并行疝囊高位结扎术。术后回访6～18个月,术后无复发。结论:腹腔镜是治疗小儿腹股沟斜疝的有效手段,但需要充分的术前准备和细致的手术操作才能防止并发症的发生。
Objective： To explore the prevention of complications of laparoscopic technique in pediatric inguinal hernian. Methods： A retrospective analysis of clinical data of 218 cases with laparoscopic treatment for pediatric inguinal hernia in our hospital from April 2010 to February 2011.Results： 218 cases with laparoscopic treatment for pediatric inguinal hernia were done under high ligation of hernia inguinal ring,each side of the operation time was 8 ～ 15 min,the average 8 min.They were discharged from hospital after 1 ～ 2 d.Inner mouth surgery in 1 case of severe adhesion with omentum, conversion to open surgery,no scrotal hematoma.Exploratory surgery found occult contralateral hernia in 41 cases,a high ligation of hernia sac in parallel.A return visit after 6 to 18 months after surgery without recurrence.Conclusions： Laparoscopic treatment of indirect inguinal hernia is effective,but the adequate preoperative preparation and meticulous surgical operation is needed to prevent complications.
出处
《赣南医学院学报》
2012年第1期67-68,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
小儿腹股沟斜疝
治疗
腹腔镜
并发症
pediatric inguinal hernia
treatment
laparoscopy
complications
