腹腔镜小儿斜疝疝囊高位结扎术术后并发症及护理.doc

腹腔镜小儿斜疝疝囊高位结扎术术后并发症及护理[摘要] 目的:探讨腹腔镜下小儿腹股沟斜疝疝囊高位结扎术的术后并发症及护理方法。方法:回顾性分析2006年1月～2008年12月间收治的320例腹股沟斜疝患儿行腹腔镜下疝囊高位结扎术的术后并发症及护理方法。结果:术后并发症均得到及时处理,预后良好。随访时间最长3年,1例复发,经传统手术方法治愈。结论:腹腔镜下小儿腹股沟斜疝疝囊高位结扎术是安全、有效的手术方式,术后并发症少且轻微,围术期正确护理减少或减轻了术后并发症。 [关键词] 腹腔镜;小儿;斜疝;并发症;护理 [中图分类号] R473.72[文献标识码]B [文章编号]1673-7210(2009)07(b)-091-02 Postoperative complications and nursing of laparoscopic high ligation of hernial sac in pediatric oblique hernia XU Jiaqi1*,QI Li2 (1.Department of Pediatric Surgery, the First Affiliated Hospital of Harbin Medical University,Heilongjiang Province,Harbin 150001,China;2.Unit of Nursing,Qiqihar Medical College,Heilongjiang Province,Qiqihar 161006,China) [Abstract] Objective:To investigate the postoperative complications and nursing methods of laparoscopic high ligation of hernial sac in pediatric oblique inguinal hernia. Methods: Laparoscopic high ligation of hernial sac in pediatric oblique inguinal hernia was performed in 320 children cases from Jan. 2006 to Dec. 2008 and analyzed retrospectively the postoperative complications and nursing methods. Results:Postoperative complications were managed in time. The prognosis was well. The longest follow-up was 3 years. 1 case recurred and was healed by traditional operation method. Conclusion:Laparoscopic high ligation ofhernial sac in pediatric oblique inguinal hernia is a safe and effective operation. The postoperative complications are less and light. Peri-operation nursing decreases and relieves the postoperative complications. [Key words] Laparoscope;Child;Oblique inguinal hernia;Complications;Nursing 腹腔镜下小儿腹股沟斜疝疝囊高位结扎术具有创伤小、痛苦小、康复快、住院时间短、复发率低等优点,深受患儿家长欢迎。目前,该手术方式已成为治疗小儿腹股沟斜疝的首选。但随着手术例数的增多,术后并发症也逐渐显现,对护理工作也提出了新的要求。本文结合我科完成的320例手术,将腹腔镜下疝囊高位结扎术的术后并发症及护理方法报道如下: 1 资料与方法 1.1一般资料 我科2006年1月～2008年12月共完成腹腔镜下小儿腹股沟斜疝疝囊高位结扎术320例,男301例,女19例;年龄52 d~11岁,平均4.5岁。术中同时发现并处理对侧存在的隐性疝82例。平均手术时间15 min,平均住院时间3~4 d。 1.2手术方法 本组病例采用气管插管静脉复合麻醉或氯胺酮静脉麻醉。患儿取头低脚高位。于脐上缘作5.5 mm长切口,插入强生公司一次性腹腔穿刺器,建立人工气腹。气