论文部分内容阅读
目的 探讨对小儿腹股沟疝微创、简易、有效的治疗方法。 方法 10 2例 ,116个各类疝内环口。年龄 10月～ 14岁。利用针式腹腔镜探查腹腔内疝内环口 ,电凝烧灼疝囊内壁后 ,采用Endoclose针法修补各类腹股沟区的疝内环口。 结果 除 1例术后 4周复发外 ,余术后恢复良好。术后随访 (3～ 4 0 )月 ,无术后复发及其它不适。 3例因术中刺破精索周围的小血管导致精索周围血肿 ;8例术后出现阴囊水肿 ,无死亡病例。 结论 腹腔镜下Endoclose针法治疗小儿腹股沟疝安全、有效、操作简易、恢复快 ,美容效果好亦 ,适宜于复发性小儿疝。
Objective To investigate the minimally invasive, simple and effective treatment of infantile inguinal hernia. Methods 102 cases, 116 all kinds of hernia ring mouth. Aged 10 months to 14 years old. Laparoscopic exploration with laparoscopic intra-abdominal hernia, electrocoagulation cauterization hernia sac wall, the use of Endoclose needle method to repair all kinds of inguinal hernia inner mouth. Results except one case of 4 weeks after the recurrence, I recovered well after surgery. All the patients were followed up for 3 ~ 40 months without postoperative recurrence and other discomfort. In 3 cases, hematoma around the spermatic cord was caused by puncturing small blood vessels around the spermatic cord during operation; scrotal edema occurred in 8 cases without any death. Conclusion Laparoscopic Endoclose needle method for the treatment of children with inguinal hernia is safe, effective, easy to operate, fast recovery, good cosmetic effect is also suitable for recurrent hernia in children.