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目的探讨小儿腹腔镜行腹股沟斜疝疝囊高位结扎手术[1]的方法、疗效及优点。方法我院2006～2007年对193例腹腔镜下小儿腹股沟斜疝手术的疗效进行分析。结果手术切口小,创伤小,可同时检查健侧是否存在隐匿疝,术后留院时间短,复发率低、并发症少,较传统手术有其显著优点。结论因小儿腹股沟斜疝为胚胎期睾丸下降过程中腹膜鞘状突未能闭塞所致,腹股沟区薄弱并非其发病因素,故在仅作单纯的疝囊高位结扎即可达到治疗的目的,同时腹腔镜下内环口及内环口周围的血管、输精管清晰可见,手术可避免因血管、神经损伤及导致缺血性睾丸炎发生,而且能同时检查和发现另一侧是否存在隐性疝,具有常规手术不可比拟的优越性。
Objective To investigate the method, efficacy and advantages of pediatric laparoscopic high ligation of inguinal hernia sac [1]. Methods In our hospital from 2006 to 2007, 193 cases of children underwent inguinal hernia surgery efficacy analysis. Results Small incision, less trauma, simultaneous inspection of the concealed herniorrhaphy, postoperative stay in a short time, low recurrence rate, fewer complications than traditional surgery has its significant advantages. Conclusion Due to the indirect inguinal hernia in children during the embryonic period of descending testicular descending peritoneal herniated because of the indefinite inguinal region is not the risk factor, so only for a simple hernia sac ligation can achieve the purpose of treatment, while abdominal Microscope and the inner ring around the mouth around the mouth of the blood vessels, vas deferens clearly visible surgery can be avoided due to blood vessels, nerve damage and the occurrence of ischemic orchitis, and can simultaneously detect and find the other side of the existence of latent hernia, with Conventional surgery incomparable superiority.