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目的探讨腹腔镜辅助下小切口治疗婴幼儿腹股沟疝新术式的临床应用价值。方法回顾分析采用该术式治疗婴幼儿腹股沟疝210例临床资料。手术要点:脐部建立气腹,在皮下环处做横形小切口,腹腔镜经内环进入疝囊,并将疝囊从小切口处顶出,剥离疝囊并高位结扎。结果手术均获成功,术后3d内出院。术后随访185例2月至12月,无一例复发。结论该术式利用腹腔镜优势,结合婴幼儿腹股沟疝的解剖特点,遵循小儿腹股沟疝手术原则,取得满意效果,有一定的临床应用和推广价值。
Objective To investigate the clinical value of laparoscopic-assisted small incision in the treatment of infantile inguinal hernia. Methods The clinical data of 210 cases of infantile inguinal hernia treated with this technique were retrospectively analyzed. Operation points: The establishment of pneumoperitoneum in the umbilical, in the subcutaneous ring transverse incision made small, laparoscopic enter the hernia sac through the inner ring, and the hernia sac from the small incision at the top, stripping the hernia sac and high ligation. Results The operation was successful and was discharged within 3 days after operation. 185 patients were followed up from February to December, no case of recurrence. Conclusion This technique is based on the advantages of laparoscopy combined with anatomical characteristics of infantile inguinal hernia and following the principle of inguinal hernia in children. Satisfactory results have been obtained, which have certain clinical application and promotion value.