脐正中襞覆盖内环口在腹腔镜治疗小儿斜疝效果的探讨.docVIP

精品论文 参考文献 脐正中襞覆盖内环口在腹腔镜治疗小儿斜疝效果的探讨 谭雄 易朝锋 刘秀莲 万展眉(衡阳市妇幼保健院 湖南衡阳 421001) 　　【摘要】目的 脐正中襞覆盖内环口在腹腔镜治疗小儿斜疝的治疗效果。方法 选取我院196例小儿斜疝为研究对象，随机分为A、B两组。其中A组给予传统开放手术，B组微型腹腔镜疝囊高扎及正中襞覆盖内环口术，随访18个月后对效果进行评价。结果 B组98例手术均顺利完成，手术时间7～13 min，双侧16 ～ 20 min，全部患儿术后6 h 进食，住院1～2d，术后无感染、阴囊水肿或血肿、睾丸缺血坏死及穿刺损伤等并发症发生，病例随访18个月，无复发，术后瘢痕极小；A组从手术时间、住院时间、并发症发生率、复发率伤口大小等均明显高于B组，经chi;2检验，Plt;0.05，差异具有统计学意义。结论 正中襞覆盖内环口在微型腹腔镜疝囊高扎治疗小儿斜疝可以降低小儿腹股沟手术的并发症及复发率，缩短恢复时间及住院时间，伤口美观等。值得推广。 　　【关键词】小儿斜疝 腹腔镜 疝囊 　　【中图分类号】R725 【文献标识码】A 【文章编号】1672-5085（2014）09-0059-02 　　The discussion of pediatric inguinal hernia in the laparoscopic treatment with median umbilical fold covering internal 　　TAN Xiong,YI Zhao-feng,LIU Xiu-lian,WAN Zhan-mei 　　 The Hospital of Maternal and Child Health in Hengyang City 　　Hunan，Hengyang，421001 　　【Abstract】Objective To evaluate the efficacy of pediatric inguinal hernia in the laparoscopic treatment with median umbilical fold covering internal. Methods Our hospital 196 cases of pediatric inguinal hernia is selected for the study were randomly divided into A, B groups. A group given traditional open surgery, group B mini-laparoscopic hernia sac high bar and median fold coverage of the inner mouth surgery, to evaluate the effectiveness of follow-up after 18 months.Results 98 cases of group B patients were successfully, surgery time to 13 min,Bilateral 16 to 20 min, 6 h All postoperatively eating, hospitalization for 1 to 2 days, with no postoperative infection, scrotal edema or hematoma, testicular ischemic necrosis and puncture injury complications, patients were followed up for 18 months, no recurrence, minimal scar; A group from the operative time, hospital stay, incidence of complications, recurrence rate of wound size were significantly higher than group B, by 2 test, P lt;0.05, the difference was statistically significant. Conclusion Median fold covering internal ring micro-laparoscopic hernia sac high bar treatment of children wit