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目的探讨自制双孔缝合针在腹腔镜下治疗小儿疝囊高位结扎术中的临床价值。方法对2008年5月至2010年5月期间在成都市第五人民医院收治的237例腹股沟斜疝儿童应用自制双孔缝合针在腹腔镜下行疝囊高位结扎术治疗的临床资料进行回顾性分析。结果 237例均在腹腔镜下完成疝囊高位结扎术。单侧手术181例,时间5~7 min,平均5.8 min;双侧56例,手术时间7~12 min,平均9.1 min。术后均无局部血肿、阴囊水肿、阴囊积气、切口感染、皮下异物感等并发症发生。术后随访时间为8~24个月(平均18.5个月),21例失访,未见疝复发及术侧睾丸发育异常。结论在腹腔镜下运用自制双孔缝合针对小儿疝囊进行高位结扎具有手术时间短、局部创伤小、术后并发症少、术后疼痛轻、操作简单等优点,在临床上具有推广价值。
Objective To investigate the clinical value of self-made double-hole suture needle in laparoscopic high ligation of infantile hernia sac. Methods The clinical data of 237 patients with inguinal hernia admitted to the Fifth People’s Hospital of Chengdu from May 2008 to May 2010 in our hospital were retrospectively analyzed using the double hole suture needle made in our hospital for laparoscopic high ligation of hernia sac . Results All 237 cases underwent laparoscopic high ligation of hernia sac. One-sided surgery in 181 cases, the time of 5 to 7 min, an average of 5.8 min; bilateral 56 cases, the operation time of 7 to 12 min, an average of 9.1 min. No postoperative hematoma, scrotal edema, scrotal pneumatosis, incision infection, subcutaneous foreign body sensation and other complications. The follow-up time ranged from 8 to 24 months (average 18.5 months), and 21 cases were lost to follow-up. Hernia recurrence and abnormal testicular development were observed. Conclusion Laparoscopic self-made double-hole suture pediatric hernia sac for high ligation has the advantages of short operative time, small local trauma, less postoperative complications, light postoperative pain, simple operation and so on. It is clinically valuable in popularization.