摘要
目的:探讨微创治疗小儿斜疝及交通性鞘膜积液的新方法.方法:对李宇洲、曲金龙的手术方法加以改进,经脐上缘和脐左侧3cm处分别置腹腔镜和组织钳,于内环口腹壁的体表投影处作0.2cm皮肤切口,用特制的钩式雪橇针带双股丝线入腹腔内环口腹膜外,一次进针,双侧穿插,内环口两侧分别穿插,完成内环口高位双重结扎,用时5～10min,整个用时10～30min.结果:全部手术均获成功,术后当天患儿即可进食,术后6～8h下床,第3天痊愈出院,无手术并发症.结论:此法与'套线法'具有相同的临床效果,可用于治疗小儿斜疝及交通鞘膜积液.
Objective： To study a new microinvasive technique for indirect hernia and communicating hydrocele in chidren. Methods： The surgical procedures were modified according to the Li Yuzhou＇ s and Qu Jinlong＇ s. In operation,laparoscope and tissue forceps were set aside 3cm off the superior border and medial umbilieus,a 0.2cm-incision was made at the projective landmark of endocyclic abdominal wall,whieh was pierced across the two sides with a self made fishhook kirschner pins. The high ligation of endocyclic incision was completely in 5-10 minutes,and the total surgery was finished in 10-30 minutes. Results：All the surgeries were successfully done. The patients could be out of bed in 6-8 hours and were discharged from hospital on the 3rd day after recovery without complication. Conclusions：This method is similar with Qu＇s in clinic effect for oblique hernia and communicating hydrocele in children.
出处
《腹腔镜外科杂志》
2005年第4期210-211,共2页
Journal of Laparoscopic Surgery
关键词
疝腹股沟
鞘膜积液
儿童
腹腔镜
Hernia, inguinal
Hydrocele
Child
Laparoscopy
作者简介
刘焕军（1959-）男，烟台市牟平人民医院微创外科副主任医师，主要从事普外科、泌尿外科疾病的诊治研究。
