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目的探讨腹腔镜技术在腹股沟嵌顿疝复位及修补中的价值。方法回顾性分析我院2007年3月至2008年2月期间利用腹腔镜治疗11例急性腹股沟嵌顿疝患者(腹股沟直疝3例,腹股沟斜疝8例)的临床资料。结果7例患者在全身麻醉后嵌顿疝自动复位,4例在腹腔镜下行松解、复位;11例患者在腹腔镜下观察或采取促进嵌顿肠管血液循环恢复的措施后,均行经腹腹膜前补片植入术(TAPP)。术后所有患者均恢复良好,平均随访6.6个月(2～12个月),无复发。结论腹腔镜下腹股沟嵌顿疝复位及修补是一种安全并具有一定优势的手术方式,值得在临床推广。
Objective To investigate the value of laparoscopy in the treatment of inguinal hernia repair and repair. Methods The clinical data of 11 patients with acute inguinal hernia admitted in our hospital from March 2007 to February 2008 in our hospital (retrograde hernia in 3 cases and inguinal hernia in 8 cases) were retrospectively analyzed. Results In 7 patients, the incarcerated hernia was automatically reset after general anesthesia and 4 patients underwent laparoscopic resection and repositioning. All the 11 patients underwent laparoscopic observation or taking measures to promote blood circulation recovery of incarcerated bowel. Pre-patch implantation (TAPP). All patients recovered well after an average of 6.6 months (range 2 to 12 months) with no recurrence. Conclusion Laparoscopic inguinal hernia repair and repair is a safe and has some advantages of surgical methods, it is worth in the clinical promotion.