腹腔镜下小儿疝囊高位结扎术初期疝复发探讨.pdfVIP

Vol. 10 No.9 中国内镜杂Æt 第 10 卷第9 期 China Joumal of End怖copy Sep.2∞4 2∞4 年9 月 文章编号: 1007-1989(2∞4 )09-ω94-02 腹腔镜下小儿痛囊高位结扎术初期痛复发探讨 张志勇，李慎惠，徐家朴 (三三一医院微创外科中心，湖南株洲 412ω2) 摘要:目的 探讨腹腔镜小儿病囊高位给札术初期(学习曲线期)病复发的因素、研究对策2t改进方法， 有效地降低复发卒。方法 83 例小儿腹股沟斜病均在腔镜下行痴内环口缝札术。其中 8 例巨型病(病内环口直 径 3 cm) 作内环口上、下双爱荷包缝扎术。结果 手术时间8-20 min，平均 14 min，所有病人除2 例.t.~民外无 其他并发症发生。 2 例筑发病人均在操作者学习曲线期 1 个月内发生，1I.均为 1 岁左右巨型病。最短.t.皮时间 1 周，2 例1.发者再次腔镜jL视下双重荷包给扎，收到满意疗效。结论操作者学习曲线期复发率高值得重视， 提高手术技巧，掌握好病囊最佳高位给扎位置，巨型痴痴囊颈上、下双重荷包给扎是降低病复发的关键。 关键词: 腹股沟病;腹腔镜;手术;/l、儿 中团分类号: R656.21 文献标识码: B To explore the factors of recurrence after laparoscopoic ring clsure.technique in children ZHANG Zhi叮rong， LI Shen斗lUÎ， XU Jia-pu (Laparoscopy Center, 331 Hospital , Zhuzhou, Hunω412∞12， P.R. China) Abstract: Objective: To explore the factol1! of recurrence 也e early (learn curve period) after laparoscopic in- guinal hemiorhaphy in children, research counterplan , improve our methods and availably lower to relopse the rate. Melhods: Laparoscopic ring closure technique was conducted for 83 cases. 8 of them who suffered from huge hernia (hernia inside wreath diameter 3 cm) were operated on by double ring closure technique. Results: The operation time was 8-20 min , the average period of operations was 14 min , all the patients recoverd well except that 2 of them relapsed , which happened during the learring curve a month later. All the relapsing patients we陀 around 12