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目的探讨经脐双孔法腹腔镜治疗小儿腹股沟斜疝的临床应用价值。方法总结经脐双孔法腹腔镜治疗750例小儿腹股沟斜疝的手术方法及临床疗效。结果手术全部在腹腔镜下完成,每侧疝手术时间5～15 min,平均7 min。715例患儿得到随访,随访率为95．3%,术后随访6～24个月,发现阴囊积气3例,脐戳孔大网膜疝3例,术后伤口线头异物反应4例,术后疝复发6例,无死亡病例。结论经脐双孔法腹腔镜治疗小儿腹股沟斜疝是一种安全、简易、有效的手术方法,其美容效果极好,手术并发症发生少,值得临床推广应用。
Objective To investigate the clinical value of dual-hole umbilical laparoscopic treatment of children with inguinal hernia. Methods: To summarize the surgical methods and clinical effects of laparoscopic treatment of 750 cases of inguinal indirect hernia in children. Results All the operations were performed under laparoscopy. The operation time of each hernia was 5-15 minutes with an average of 7 minutes. A total of 715 children were followed up with a follow-up rate of 95.3%. The patients were followed up for 6 to 24 months. Three cases of scrotal pneumatosis, three cases of uterine orifice omental hernia, four cases of linear foreign body reaction after wound closure, Hernia recurrence in 6 cases, no deaths. Conclusion Laparoscopic treatment of children with indirect inguinal hernia is a safe, simple and effective surgical method. The cosmetic effect is excellent, the occurrence of surgical complications is small, which is worthy of clinical application.