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目的:探讨腹腔镜下疝囊高位结扎术手术适应征。方法:2008年1月～2009年12月,应用腹腔镜治疗小儿腹股沟斜疝763例,男孩614例,女孩149例;年龄6月～14岁,平均6岁;左侧289例,右侧376例,双侧98例。结果:手术过程顺利,无手术并发症,手术时间平均16分钟,发现隐匿性疝203例,复发2例。结论:腹腔镜疝囊高位结扎术无明确禁忌,是治疗小儿腹股沟斜疝较理想的手术方式。
Objective: To investigate the surgical indications for laparoscopic high ligation of hernia sac. Methods: From January 2008 to December 2009, 763 cases of children with indirect inguinal hernia were treated with laparoscopy. There were 614 boys and 149 girls, aged from 6 months to 14 years old, with an average of 6 years old. There were 289 cases on the left and 376 cases on the right Cases, 98 cases on both sides. Results: The procedure was smooth and no complications were found. The average operation time was 16 minutes. There were 203 occult hernias and 2 recurrent cases. Conclusion: Laparoscopic hernia sac ligation without obvious taboo, is the treatment of children with inguinal hernia is the ideal surgical approach.