摘要
目的比较腹腔镜术与传统手术在治疗小儿腹股沟斜疝上的优缺点及疗效。方法将126例腹股沟斜疝的患儿按抽签方式分为腹腔镜术治疗组和传统手术组各63例。腹腔镜组行腹腔镜下内环口缝扎术;传统手术组行腹股沟部切开疝囊高位结扎。结果两组术程均顺利。腹腔镜组手术时间约为20-40min,平均30 min;无中转手术病例;术中发现并处理对侧隐性内环口未闭12例;术后第1天下床活动,术后2-3 d出院;近期并发症2例。传统手术组手术时间约为25-40 min,平均31 min;术后第2天下床活动,术后5-7 d出院;近期并发症13例。8例为手术2个月-1年后对侧发生斜疝,经二次手术治愈。126例均得到随访,随访4个月-5年。腹腔镜组62例痊愈,复发1例,传统手术组60例痊愈,复发3例。结论腹腔镜下内环口缝扎术具有损伤小、操作简便、安全、疗效可靠、恢复快、复发率低并可同时发现及处理另一侧隐性疝等优点,值得推广应用。
Objective To compare laparoscopic and traditional operation on children＇ s oblique inguinal hernia. Methods 126 child patients with oblique inguinal hernia were divided into laparoscopic and traditional group, and each group had 63 cases. In laparoscopic group, transfixion on inner ring was taken by laparoscope; in traditional group, high transfixion was taken with discission on pars inguinalis. Results No cases failed. In laparo- scopic group, operation cost about 20 to 40 min （ mean 30 min） without trans - operaitons. Patients had out - of - bed activities at the I st day and discharged in 2 -3days. There were 12 cases with potency in opposite recessive in- ner ring in operations, 2 cases with near future complications. It took 25 to 40 min （mean 31 min） in traditional group. Patients had out -of- bed activities in 2 days and discharged in 5 to 7 days. There were 13 cases with near future comphcations and 8 cases with indirect hernia at the opposite side in 2 months to 1 year, recovering after reo- peration. A follow - up for the 126 cases lasted for 4 months to 5 years ： 62 recovery cases and I recurrent case in laparoscopic group; 60 recovery cases, 3 recurrent cases and 1 case with iatrogenic undescended testicle in tradi- tional group. Conclusion Transfixion on inner ring on laparoscope to cure child＇ s oblique inguinal hernia is simply - operated, safe and effective, with smaller incision, less injury and less pain. It benefited for patients＇ recovery and decreased recurrence. In addition, recessive hernia could be discovered and dealt with during laparoscopic operation.
出处
《海南医学》
CAS
2010年第3期23-25,共3页
Hainan Medical Journal
关键词
腹股沟斜疝
腹腔镜术
传统术式
Oblique inguinal hernia
Operation on laparoscope
Traditional operation
