小儿腹股沟疝小切口疝囊高位结扎589例手术体会.docVIP

小儿腹股沟疝小切口疝囊高位结扎手术:994987162@ 【摘要】 目的 探讨小儿腹股沟疝，采用外环口小切口疝囊高位结扎术的临床应用。 方法 回顾分析我院2014年9月—2015年6月，应用外环口小切口疝囊高位结扎589例的临床资料。 结果 589例患儿均成功完成手术，手术时间在1.5—5分钟之间，平均时间约2.5分钟，术中出血量1ml或几乎无出血。均在手术当天出院（术后4—6小时）。术后随访，阴囊血肿3例，阴囊轻度血清肿及水肿19例，均未做特殊处理，15天左右自行消退，无切口感染，目前无复发病例。 结论 小儿腹股沟疝采用外环口小切口疝囊高位结扎，是一种创伤小、疼痛轻、恢复快、瘢痕小、安全、有效及符合微创手术理念的手术方式。值得在基层医院广泛推广。 【关键词】疝，腹股沟，外环口，小切口，疝囊高位结扎 Surgical realization of small incision and high ligation children hernia of 589 cases.REN Fu-qing,WANG Guo-qiang,JU Xiao-feng,FENG Jian-long.Department of invasive hernia surgery, The fourth peoples hospital of Shanxi, xian 710000 ,china Corresponding author: REN Fu-qing,E-mail:994987162@ 【Abstract】 Objective Investigate clinical application of small incision and high ligation of children hernias Method Retrospective analysis the 589 cases clinical data of small incision and high ligation from September 2014 to June 2015. Results The children were successfully completed surgery of 589 cases. The operation times was between 1.5 to 5 minutes, The average time was approximately 2.5 minutes, blood loss1ml or almost no bleeding, they were discharged the day of surgery(postoperative 4-6 hours),postoperative follow-up: no special treatment of scrotal hematoma in 3 cases,with slight blood bruises and edema of scrotum in 19 cases,all self-absorption in about 15 days. No wound infection, no recurrence currently. Conclusions The use of small incision and high ligation in children hernia is a trauma, less pain, faster recovery, smaller scars, safe and effective,and it comply the concept of minimally invasive surgical operation.it is worthy of widely in primary hospital 【Key word】ernia, Lnguinal, Outer-mouth, Small incision, Hernia sac high ligation 小儿腹股沟疝，多年来不变的经典术式依然为疝囊高位结扎，因小儿腹股沟疝的患儿腹横筋膜缺损不明显，因此疝囊高位结扎术式，治愈率高，复发率低（约0.8%—3.8%）〔1〕，一直为各级医院普遍采用的标准术式。只是在手术入路上存在不同，如传统经腹股沟切口疝囊高位结扎、腹腔镜下疝囊高位结扎及经腹腔疝囊高位结扎等。我院近十年来一直采用经外环口区0.5—1cm小切口行疝囊高位结扎术，已成功治愈两万余例，复发率0.5%，疗效满意，现报告如下。 一、资料与方法： 1、一般资料：2014年9月至2015年6月，应用外环口处小切口疝囊高位结扎治疗的病例589例。其中