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目的:总结腹腔镜治疗小儿腹股沟斜疝的经验。方法:回顾分析本院从1998年3月-2011年3月,使用腹腔镜配合本院自行设计的针型器械,采用腹膜外结扎内环口的方法治疗小儿腹股沟斜疝7 000例患儿的临床资料。结果:7 000例均经腹腔镜下完成,手术时间2～13 min,平均时间(8.2±3.3)min,随访3个月～12年,复发76例(其中术后交通性疝囊积液11例),术中发现对侧鞘状突未闭1 625例,发现率23%,术后结扎线线头反应58例,脐上方切口大网膜疝出26例。结论:腹腔镜治疗小儿腹股沟斜疝创伤小、恢复快、手术时间短、伤口美观、复发率低、并有术中探查的优势,值得推广。
Objective: To summarize the experience of laparoscopic treatment of infantile inguinal hernia. Methods: A retrospective analysis of our hospital from March 1998 to March 2011, the use of laparoscopy with our own design needle equipment, the use of extraperitoneal ligation of the inguinal approach to treat children with inguinal hernia 7 000 cases of children clinical information. Results: All the 7 000 cases were performed laparoscopically. The operation time ranged from 2 to 13 minutes and the average time was (8.2 ± 3.3) min. Follow-up ranged from 3 months to 12 years. There were 76 recurrent cases Cases), the operation was found in the contralateral sheath herniation 1 625 cases, the discovery rate of 23%, 58 cases of ligation after the line reaction, umbilical incision in the omental hernia out of 26 cases. Conclusion: Laparoscopic treatment of children with inguinal hernia trauma, rapid recovery, short operative time, wounds, recurrence rate is low, and the advantages of intraoperative exploration, it is worth promoting.