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目的探讨腹腔镜下疝囊高位结扎术联合覆盖脐内侧襞术式用于治疗小儿腹股沟斜疝的临床应用价值及经验总结。方法回顾性分析2016年7月-2017年7月天津市儿童医院腹腔镜疝囊高位结扎术联合覆盖脐内侧襞治疗腹股沟斜疝患儿120例的临床资料,包括术中出血量、手术时间、住院时间,以及术后并发症和复发情况。结果 120例患儿均顺利完成手术,无中转开放式手术,术中发现对侧隐匿疝17例,手术时间平均21.5min(10~50min),术中出血量平均1.1ml(0.5~1.5ml),平均出院时间为3.5d(2~4d),术后无手术并发症,术后随访2~12月无复发病例。结论腹腔镜下疝囊高位结扎术联合覆盖脐内侧襞治疗小儿腹股沟斜疝创伤小、恢复快、并发症少、复发率低,且安全可靠,值得临床推广应用。
Objective To investigate the clinical value and experience of laparoscopic high ligation of hernia sac combined with covering umbilical medial pterygium for the treatment of infantile inguinal hernia. Methods The clinical data of 120 cases of inguinal hernia in children from July 2016 to July 2017 in Tianjin Children’s Hospital with high ligation of laparoscopic hernia sac and covering the umbilical medial fossa were retrospectively analyzed, including intraoperative blood loss, operation time, Length of stay, and postoperative complications and recurrence. Results All the 120 children underwent surgery successfully. There were 17 cases with contralateral hernia in operation, the average operation time was 21.5 minutes (10 ~ 50 minutes) and the average amount of blood loss was 1.1ml (0.5 ~ 1.5ml) , The average discharge time was 3.5d (2 ~ 4d), no postoperative complications, follow-up 2 to 12 months without recurrence. Conclusion High laparoscopic ligation of the hernia sac combined with covering the umbilical medial 襞 treatment of children with inguinal hernia trauma, fast recovery, fewer complications, low recurrence rate, and safe and reliable, worthy of clinical application.