摘要
目的探讨经脐双孔法腹腔镜治疗婴幼儿腹股沟嵌顿性斜疝的临床应用价值。方法2003年4月—2004年4月采用经脐双孔法腹腔镜治疗婴幼儿腹股沟嵌顿性斜疝48例,并与婴幼儿腹股沟嵌顿疝的传统手术在手术时间、肠功能恢复时间、住院天数、术后并发症等方面进行了比较。结果腹腔镜手术组手术过程顺利,未发现嵌顿物坏死,无附加嵌顿内容物切除手术,其平均手术时间为(30±5)min,肠鸣音恢复时间为(7.8±0.3)h,住院时间(4.4±0.3)d,均较传统手术组[平均手术时间(43±6)min,肠鸣音恢复时间(23.3±2.4)h,住院时间(6.7±0.4)d]缩短(P<0.05),术后随访3个月～1年未见疝复发和输精管损伤、膀胱损伤、睾丸萎缩等并发症。结论经脐双孔法腹腔镜治疗婴幼儿腹股沟嵌顿性斜疝是一种安全的微创手术,具有损伤小、恢复快、住院时间短等优点,值得推广应用。
Objective To evaluate the clinical application of transumbilical double-hole laparoscopic operation for incarcerated inguinal hernia in the infants. Methods Forty-eight cases with incarcerated inguinal hernia (male 39, female 9) aging from 4 months to 3 years (mean 1.2±0.8 years) received the laparoscopic transumbilical double-hole operation (LTO group) during April.2003 to April.2004. Thirty cases were left side incarcerated inguinal hernia, 12 cases were right side and 6 cases were bilateral. Fifty infants of incarcerated inguinal hernias treated with traditional operation served as controls (TO group). The mean operation time, length of stay, return of bowel function and postoperative complication were compared between the two groups. Results All cases of both groups recovered without any complication. The operation time, average hospitalization and return of bowel function in LTO were ^(30±5) min, (7.8±0.3) h and (4.4±0.3) d, respectively, and in TO were (43±6) min, (23.3±2.4) h and (6.7±0.4) d, respectively. There was a significant difference in the two groups (P<0.05). The patients in both groups were followed up for 3 months to one year. LTO group had no recurrence or atrophy of testis and TO group had one relapse of hernia. Conclusions Transumbilical double-hole laparoscopic operation is safe and microinvasive. It is a useful microinvasive procedure in the treatment of incarcerated inguinal hernia for infant.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2005年第9期576-578,共3页
Chinese Journal of Surgery
