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目的探讨经脐部两孔腹腔镜手术治疗小儿腹股沟斜疝的可行性及治疗效果。方法回顾性分析2013年12月至2014年12月,湖北省孝感市中心医院行经脐两孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝122例患者资料,总结手术疗效及术后恢复效果。结果所有患儿均成功完成腹腔镜手术。术前诊断为单侧疝111例,双侧疝11例,术中探查发现对侧疝22例。手术时间10~30 min,平均手术时间单侧15 min,双侧20 min。术后随访4~15个月,1例术后并发鞘膜积液再次手术外,其他患者无复发。术后患儿恢复快,切口无瘢痕。结论经脐部两孔腹腔镜手术治疗小儿腹股沟斜疝具有安全、美观、恢复快、术中能够发现对侧疝的好处,值得临床推广,术中应注意预防术后并发症。
Objective To investigate the feasibility and therapeutic effect of two-hole laparoscopic surgery on inguinal indirect hernia in children. Methods Retrospective analysis from December 2013 to December 2014, Xiaogan Central Hospital of Hubei Province through umbilical two holes laparoscopic high ligation of hernia sac in treatment of infantile inguinal hernia in 122 patients, summarizes the surgical efficacy and postoperative recovery. Results All children underwent laparoscopic surgery successfully. Preoperative diagnosis of unilateral hernia in 111 cases, bilateral hernia in 11 cases, intraoperative exploration found contralateral hernia in 22 cases. The operation time ranged from 10 to 30 minutes. The average operation time was 15 minutes on one side and 20 minutes on both sides. All the patients were followed up for 4 to 15 months. One patient had reoperation after operation with hydrocele. No recurrence occurred in other patients. Postoperative recovery of children with no scar incision. Conclusions The two-hole laparoscopic operation of the umbilicus for treatment of inguinal indirect inguinal hernia in children is safe, beautiful and quick to recover. The advantages of contralateral hernia can be found during operation. It is worth to be popularized clinically, and postoperative complications should be prevented during operation.