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目的探讨自制穿刺针单孔经脐腹腔镜下全腹膜外疝囊高位结扎术治疗小儿斜疝的价值。方法回顾性分析2012年6月至2016年3月,重庆市第九人民医院普外科行通道深静脉穿刺针联合单孔腹腔镜技术治疗的斜疝患儿325例的临床资料,观察手术疗效。结果全部手术均成功,随访5~56个月未见一例复发。结论采用此方法治疗小儿斜疝不破坏腹股沟管的解剖结构,器械简单,具有操作方便、安全有效、创伤小、隐瘢痕、同时及时诊治对侧隐匿性斜疝的优点,值得临床推广应用。
Objective To investigate the value of homemade self-made puncture needle transvaginal laparoscopic total extraperitoneal hernia sac ligation in the treatment of children with oblique hernia. Methods The clinical data of 325 patients with oblique hernia treated by deep venous puncture combined with single-hole laparoscopy in the general surgery department of the Ninth People’s Hospital of Chongqing from June 2012 to March 2016 were retrospectively analyzed. The curative effect was observed. Results All the surgeries were successful. No recurrence occurred in 5 to 56 months of follow-up. Conclusions This method of treatment of infantile oblique hernia does not destroy the anatomy of the inguinal canal. The device is simple and has the advantages of convenient operation, safe and effective, small trauma and hidden scars, and timely diagnosis and treatment of contralateral occult hernia. It is worthy of clinical application.