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目的:分析对腹股沟斜疝患儿经脐部实施单孔腹腔镜外科治疗的临床效果。方法:选取我院小儿腹股沟斜疝362例作为研究对象,其中双侧斜疝90例,左侧斜疝68例,右侧斜疝204例,均采用单孔腹腔镜行疝囊高位结扎术。结果:362例病患皆顺利完成手术,无1例中转手术方案;单侧疝平均手术时间(12.3±6.7)分钟,双侧疝平均手术时间(27.2±5.4)分钟;平均住院时间(3.6±1.2)天,小范围血肿及淤血10例,轻度阴囊水肿36例;术后随访1年,无1例复发。结论:针对小儿腹股沟斜疝,采用单孔腹腔镜经脐部进行治疗不仅有效、安全,且操作方便,不留瘢痕,适于临床推广应用。
Objective: To analyze the clinical effect of single hole laparoscopic surgery in umbilicus patients with inguinal hernia. Methods: 362 cases of indirect inguinal hernia in our hospital were selected as the research object. There were 90 cases of bilateral oblique hernia, 68 cases of left hernia and 204 cases of right hernia. All patients underwent single-hole laparoscopic high ligation of hernia sac. Results: All the 362 patients completed the operation without any interventional procedure. The average operation time of unilateral hernia was (12.3 ± 6.7) minutes, the average operation time of bilateral hernia was (27.2 ± 5.4) minutes, the average hospitalization time was 3.6 ± 1.2) days, small hematoma and congestion in 10 cases, 36 cases of mild scrotal edema; follow-up for 1 year, no recurrence. Conclusion: For children with inguinal hernia, the use of single-hole laparoscopic umbilical treatment is not only effective and safe, and easy to operate, without leaving scars, suitable for clinical application.