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目的:对采用腹腔镜疝囊高位结扎手术治疗小儿腹股沟斜疝的效果进行探讨。方法 :将2012年2月-2013年2月我院收治的96例腹股沟斜疝患儿按照家属对手术方式的选择分为观察组与对照组,各48例。观察组在腹腔镜下进行疝囊高位结扎手术,对照组则实施传统的手术。对照2组手术效果。结果 :观察组的单侧手术时间、下床活动时间、住院时间均显著短于对照组(P<0.05);术后复发1例(2.08%),再给予腹腔镜手术治疗痊愈;对照组复发7例(14.58%),其中3例转腹腔镜手术治疗,4例实施开腹手术,均治愈出院。结论 :对腹股沟斜疝患儿采用腹腔镜疝囊高位结扎治疗效果相对传统手术较优,复发率低,安全可靠。
Objective: To investigate the effect of laparoscopic high ligation of hernia sac in the treatment of infantile inguinal hernia. Methods: 96 cases of inguinal indirect hernia admitted to our hospital from February 2012 to February 2013 were divided into the observation group and the control group according to the choice of the operating mode of the relatives, each 48 cases. The observation group underwent laparoscopic high ligation of hernia sac and the control group underwent conventional surgery. The control group 2 surgical results. Results: The unilateral surgery time, ambulation time and hospitalization time in the observation group were significantly shorter than those in the control group (P <0.05). One case (2.08%) was relapsed after operation, and then recovered after laparoscopic surgery. The control group recurred Seven cases (14.58%) were treated by laparoscopic surgery and three cases underwent laparoscopic surgery. Four cases underwent laparotomy and were cured. Conclusion: The treatment of patients with inguinal hernia by high ligation of laparoscopic hernia sac is superior to conventional surgery, the recurrence rate is low, safe and reliable.