摘要
目的比较腹腔镜与腹股沟斜切口手术治疗小儿嵌顿性腹股沟斜疝的疗效。方法我院2（）10年3月至2011年8月收治小儿嵌顿性腹股沟斜疝111例，56例采用腹腔镜（腹腔镜组）手术治疗，55例采用腹股沟斜切口（传统手术组）手术治疗，比较两种术式的疗效。结果腹腔镜组：3例麻醉后，手法复位困难，放弃腹腔镜手术。手术时间（31．4±10．2）min；术后通气时间（7．8±2．9）h；住院时间（3．3±1．1）d。所有患儿恢复良好，切口美观，工期愈合；术后阴囊或阴唇肿胀轻，无血肿；无粘连性肠梗阻；随访1～15个月无复发。传统手术组：手术时间（40．7±11．6）min；术后通气时间（15．3±2．8）h；住院时间（5．8±1．4）d。切口较长；术后阴囊或阴唇肿胀重，7例出现阴囊血肿；3例切口少许渗液，1例感染；随访2～17个月，2例术后复发；8例术后对侧出现疝。结论腹腔镜与传统腹股沟斜切口手术比较，具有切口美观，术后阴囊或阴唇无血肿，可同时处理对侧隐匿性疝，恢复快等优点，是一种安全、可靠、有效的术式。
Objective To evaluate the safety and efficacy of laparoscopic surgery for the treat ment of incarcerated inguinal hernia in children. Methods From March 2010 to June 2011, 111 pa- tients with incarcerated inguinal hernia were admitted to this department and underwent surgery. A- mong them, 56 patients were performed laparoscopic surgery, and the other 55 underwent open sur- gery via inguinal oblique ineisiora The perioperative perimeters and short term outcome were retro- spectively analyzed to compare the safety and efficacy of the 2 procedures. Results On the 3 of the 56 patients with laparoscopic surgery, laparoscopic surgery was converted to open surgery for failed man- ual reduction of hernia after anesthesia. The mean operative time was 31.4 ± 10.2 minutes. The mean postoperative ventilation time was 7. 8± 2. 9 hours. The mean length of hospital stay was 3. 3 ± 1.1 days. All patients recovered well without any complications. The surgical incision was healed primari- ly. Less postoperative swelling of the scrotum or labia was noted, and no hematoma occurred. No re- occurrence of hernia was observed during 1 to 15 months＂ follow-up. Of the 55 patients underwent open surgery, the mean operative time was 40.7± 11.6 minutes. The mean postoperative ventilation time was 15.3 ± 2.8 hours. The mean length of hospital stay was 5.8 ± 1.4 days. The scar appearance of incision was more obvious on the patients with open surgery. More severe postoperative swelling of the scrotum or labia was also noted, and scrotal hematoma occurred on 7 patients. During 2 to 17 months＂ follow-up, small incision exudate was noted on 3 patients, wound infection on 1, hernia recur- rence on 2, occurrence of contralateral hernia on 8. Conclusions Laparoseopic surgery is a safe, reliable and effective procedure for the treatment of incarcerated inguinal hernia in children.
出处
《中华小儿外科杂志》
CSCD
北大核心
2012年第7期497-500,共4页
Chinese Journal of Pediatric Surgery
关键词
腹腔镜外科手术
疝
腹股沟
Laparoscopic surgery operation
Hernia, inguinal
