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目的探讨腹腔镜下疝囊高位结扎术在儿童腹股沟斜疝中的临床疗效,评价该术式的临床应用价值。方法采集2012年1月至2013年6月,喀什地区第一人民医院收治的196例腹股沟斜疝患儿的临床资料进行回顾性分析。患儿均采用腹腔镜下疝囊高位结扎术,对手术时间、住院时间、住院费用、术后并发症发生率及术后复发率等指标进行统计学分析。结果本组患儿平均手术时间(17±5)min,平均住院时间4~6 d,平均住院费用(4 125±25)元。术后随访1~18个月,术后复发2例,复发率为1.0%,无其他术后并发症发生。结论腹腔镜下疝囊高位结扎术用于儿童腹股沟斜疝的治疗,具有手术时间短、住院时间短、创伤小、疗效可靠等优点,值得广泛应用于临床。
Objective To investigate the clinical efficacy of laparoscopic high ligation of hernia sac in inguinal hernia in children and evaluate its clinical value. Methods A retrospective analysis was performed on the clinical data of 196 children with inguinal hernia admitted to the First People’s Hospital of Kashgar from January 2012 to June 2013. Children were treated with laparoscopic high ligation of hernia sac, the operation time, hospital stay, hospitalization costs, the incidence of postoperative complications and postoperative recurrence and other indicators of statistical analysis. Results The average operation time (17 ± 5) min, the average length of hospital stay 4 ~ 6 days, and the average hospitalization cost (4 125 ± 25) yuan in this group of children. The patients were followed up for 1 to 18 months and 2 cases were relapsed. The recurrence rate was 1.0%. No other postoperative complications occurred. Conclusions Laparoscopic high ligation of hernia sac is used for the treatment of indirect inguinal hernia in children. It has the advantages of short operation time, short hospital stay, small trauma and reliable curative effect, which is worth widely used in clinic.