论文部分内容阅读
目的探讨经腹膜前间隙行疝囊高位结扎术治疗儿童腹股沟疝的临床效果。方法回顾分析采用该术式治疗的26例儿童患者,主要关注手术操作的难易程度(以手术时间作为参考指标)、手术并发症及术后复发率等情况。手术要点:内环口上方做皮肤切口,进入腹膜前间隙,显露疝囊颈,将其提起并与精索结构分离,结扎疝囊颈,远端疝囊不作特殊处理。结果手术时间:单侧最长35min,最短10min,平均18min;术后均未使用止痛药物;局部及阴囊均未发生明显水肿;所有病例术后2天出院;术后随访6~20个月(平均12个月),无复发病例;无死亡等其他严重并发症发生。结论由于随访时间较短,该术式远期效果尚不能肯定,但其近期效果是良好的,可以作为治疗儿童腹股沟疝的首选术式之一。
Objective To investigate the clinical effect of high ligation of hernia sac in peritoneal space to treat inguinal hernia in children. Methods Retrospective analysis of 26 cases of children treated by this technique mainly focused on the ease of operation (the operation time as a reference index), surgical complications and postoperative recurrence rate and so on. The main points of surgery: the inner ring mouth to do the skin incision into the anterior peritoneal space, revealing the hernia sac neck, lift it and spermatic cord structure separation, ligation hernia sac neck, distal hernia sac for no special treatment. Results The operation time was the longest 35min on one side, the shortest 10min on average, 18min after operation. No pain medication was used after operation. No obvious edema occurred on the local and scrotum. All cases were discharged 2 days after operation. The patients were followed up for 6-20 months An average of 12 months), no recurrence of cases; no other serious complications such as death. Conclusion Due to the short follow-up period, the long-term effect of this procedure is not yet certain. However, the short-term effect is good and can be used as the first choice for the treatment of inguinal hernia in children.