论文部分内容阅读
目的探讨带线气腹针在腹腔镜小儿疝囊高位结扎术中的临床应用价值。方法回顾性分析笔者所在医院2013年5月至2014年5月期间在腹腔镜下采用带线气腹针行腹股沟疝囊高位结扎术治疗小儿腹股沟斜疝56例临床资料。结果 56例患儿均在腹腔镜下顺利完成疝囊高位结扎术,其中实施单侧手术41例,时间6~18 min,平均9.6 min,;双侧手术15例,手术时间10~32 min,平均14.3 min。术中发现对侧隐匿性疝9例,一并予以结扎处理。术后l~2 d出院,均无阴囊水肿、阴囊积气、切口感染等并发症发生。56例患儿术后随访3~15个月,平均10.8个月,未见疝复发及术侧睾丸发育异常。结论采用带线气腹针腹腔镜下腹股沟疝囊高位结扎术具有损伤小、切口隐蔽、康复快、住院时间短、操作简便、疗效确切等优点,还能发现对侧隐匿性疝,避免二次手术,具有较高的应用价值,值得临床推广。
Objective To investigate the clinical value of banding pneumoperitoneum in the laparoscopic high ligation of pediatric hernia. Methods Retrospective analysis of the author’s hospital from May 2013 to May 2014 during laparoscopic use of line Veress needle inguinal hernia ligation in the treatment of inguinal hernia in children 56 cases of clinical data. Results 56 cases of children underwent laparoscopic ligation of hernia sac successfully, including 41 cases of unilateral surgery, the time of 6 to 18 min, an average of 9.6 min; bilateral surgery in 15 cases, the operation time of 10 to 32 min, Average 14.3 min. Intraoperative occult hernia found in 9 cases, to be ligation treatment. L ~ 2 d after discharge, no scrotal edema, scrotal pneumatosis, incision infection and other complications. 56 patients were followed up for 3 to 15 months, an average of 10.8 months, no recurrence of hernia and testicular dysplasia. Conclusions The laparoscopic inguinal hernia sac with high ligation with paracentesis has the advantages of small injury, concealed incision, quick recovery, short hospital stay, easy operation and exact curative effect. It can also find contralateral occult hernia and avoid secondary Surgery, has high application value, it is worth clinical promotion.