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目的探讨改良的自制缝合针在小儿腹股沟斜疝腹腔镜治疗中的疗效及并发症。方法 2010年2月-2012年5月阳春市妇幼保健院应用改良的自制缝合针为108例患儿行腹腔镜小儿腹股沟斜疝疝囊高位结扎术。结果手术过程顺利,平均手术时间(19.853±5.006)min,切口不需缝合。除6例有皮下异物感外,无明显并发症。平均住院(3.4±1.7)d。随诊1个月以上患儿症状均消失,术后无疤痕。结论应用改良的自制缝合针行腹腔镜小儿腹股沟斜疝疝囊高位结扎术,创伤小,手术时间及住院时间短,术后恢复快,可同时发现及处理隐性疝、鞘状突未闭,复发率低,并发症少,且可有效地防治复发,因而是治疗小儿外科疾病的一种创伤小、安全性高、疗效确切的有效手段,值得基层医院推广应用。
Objective To investigate the efficacy and complications of modified homemade suture needle in laparoscopic treatment of children’s inguinal hernia. Methods From February 2010 to May 2012, a modified self-made suture needle was used in 108 maternal and children’s inguinal hernia herniation sacs in Yangchun Maternal and Child Health Hospital. Results The operation was smooth and the average operation time was (19.853 ± 5.006) min. The incision did not require suturing. In addition to six cases of subcutaneous foreign body sensation, no significant complications. The average hospitalization (3.4 ± 1.7) d. Children with symptoms of more than 1 month follow-up disappeared, no scar after surgery. Conclusion The improved homemade suture needle laparoscopic pediatric inguinal hernia sac high ligation, trauma, operation time and hospitalization time is short, rapid recovery, both hidden hernia, sheath herniation, Low recurrence rate, fewer complications, and can effectively prevent recurrence, and therefore is a traumatic treatment of pediatric surgical small, high security, effective and effective means of effective, it is worth to promote the use of grass-roots hospitals.