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目的观察小儿腹股沟斜疝单孔腹腔镜手术中用大圆针行疝囊高位结扎术的疗效。方法 94例作单孔腹腔镜手术的腹股沟斜疝患儿分为观察组(52例)和对照组(42例),分别采用大圆针或联用大圆针和疝气针行疝囊高位结扎术,比较两组术式改变、手术时间、住院时间、术中血管损伤、术后并发症及复发情况。结果两组术式改变、手术时间、术中血管损伤差异有统计学意义(P<0.01或0.05),而住院时间、术后并发症及复发差异无统计学意义(P>0.05)。结论单孔腹腔镜手术中用大圆针行疝囊高位结扎术是治疗小儿腹股沟斜疝的安全、有效方法。
Objective To observe the effect of high circular ligation of hernia sac in lumbar single-hole laparoscopic surgery for inguinal hernia in children. Methods 94 cases of inguinal indirect hernia were divided into the observation group (52 cases) and the control group (42 cases) by single hole laparoscopic surgery. The patients were treated with large round needle or combined with large circular needle and hernia needle high ligation hernia sac, The operative procedure, hospital stay, intraoperative vascular injury, postoperative complications and recurrence were compared between the two groups. Results There were significant differences in operative procedure, operative time and intraoperative vascular injury between the two groups (P <0.01 or 0.05), but no significant differences in hospitalization time, postoperative complications and recurrence (P> 0.05). Conclusion Single-hole laparoscopic surgery with large circular needle hernia sac ligation is a safe and effective method for the treatment of children with inguinal hernia.