腹腔镜下微创治疗儿童腹股沟疝的临床体会.pdfVIP

虑 (哇抒版)2014年 l0月第8卷第5期 (]tinJH~niaAbd0l血1alWall g(Ⅱec岫 cEdi6∞)，October2014，v01．8．No．5 ·59 · ． 论 著 ． 腹腔镜下微创治疗儿童腹股沟疝的 临床体会 陈康 王光远 郎庆华 冉启琼 毛宏铭 孟祥宁 刘应梅 【摘要】 目的 探讨腹腔镜下微创治疗儿童腹股沟疝的可行性。方法 回顾性分析2012年 4月至2013年9月，六盘水市人 民医院在全身麻醉腹腔镜下行儿童疝囊高位结扎治疗儿童腹股沟疝 198例的临床资料。结果 198例患者手术均顺利，手术时间10—20min，平均 15min。术后均未用 抗生素 ，术后6h内即可适量活动及进流质饮食。所有患者均达一期愈合，住院时间3～4d。术后随 访6个月，均无复发、血肿、水肿等并发症；术后发生切 口大网膜疝 1例。结论 儿童腹股沟疝行腹腔 镜下疝囊高位结扎术，减少术后复发，并发症少，值得临床推广应用。 【关键词】 疝，腹股沟；疝修补术；腹腔镜；手术后并发症；儿童 Clinicalexperienceoflaparoscopicinguinalherniarepairinchildren ChenKang，WangGuangyuan， LangQinghua，RanQiqiong，MaoHongming，MengXiangning，LiuYingmei．DepartmentofGeneral Surgery，LiupanshuiPeopleSHospital，Liupanshui553001，China Correspondingauthor：ChenKang，Email：1300140642@ qq．con 【Abstract】 Objective Toevaluatethefeasibilityoflaparoseopicinguinalherniarepairasa minimallyinvasivetreatmentin children．M ethods A total of198 casesofinuginalherniain children receivinglaparoscopiehighligationofsacundergeneral anesthesiainLiupanshuiPeopleSHospital from April2012toSeptember2013，wereenrolledandtheirclinicaldatawereretrospectivelyna alyzed．Results Alloperationsweresuccessfullycompleted．Theoperatingtimernaged*from 10to20minutes(mean 15minutes)．Nopostoperativeantibioticswas印plied．Appropriateactivityandliquiddietcouldbeengiven in6hoursafteroperation．Allpatientswerehealingbyfirstintention，na dhtehospital lengthofstayWas 3to 4days．Aftera ~llow—up of6 months，norecurrence，hematoma，edema and othercomplicationsWas observed；whilegreateromentum ineisionalherniaocCulTed in 1patientafteroperation．Conclusion Laparoscopiehighligation herniasactechniqueinchildrenreducepostoperativerecurrenceofhernia，na d hasfew complications，isworthytobepopularizedinclinic． K【eywords】Hernia，inuginal；Herniorrhaphy；Laparoseopes；Postoperativecomplications； Child 儿童腹股沟疝发生多因腹膜鞘状突未闭而非肌