微型腹腔镜治疗学龄前小儿腹股沟疝:附212例报告
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吴洋鹏 E-mail:wyp325@126.com

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Mini-laparoscope for treatment of inguinal hernia in preschool children:a report of 212 cases
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    摘要:

    目的:探讨腹腔镜手术在小儿腹股沟疝治疗的临床效果。
    方法:在全麻下用微型腹腔镜对212例0.5~6岁,平均5.3岁的小儿腹股沟疝进行治疗,对有肠管嵌顿者于肠管还纳,并检查肠管有无缺血、坏死、溃破,行内环口高位结扎。
    结果:212例小儿腹股沟疝均在微型(直径0.3 cm)腹腔镜下完成疝囊高位结扎,无需行肠切除者。212例患儿随访0.5~2年,平均1.2年,无复发病例。
    结论:微型腹腔镜手术治疗小儿腹股沟疝安全可行,创伤小,恢复快。

    Abstract:

    Objective:To evaluate the clinical efficacy of laparoscopic surgery for  treatment of inguinal hernia in children.
    Methods:Under general anesthesia and using a mini-laparoscope, 212 children cases of inguinal hernia were treated. The age was 0.5-6(avarage 5.3) years. In cases of bowel incarceration, the intestine was reduced, and the bowel was checked for ischemia, necrosis and ulceration, and the internal inguinal ring was highly ligated.
    Results:All the 212 patients with inguinal hernia had hernia sac ligation with mini-size (diameter 0.3cm) laparoscope.None had intestinal resection. The 212 children had follow-up of 0.5-2 years, average of 1.2 years, with no recurrent cases.
    Conclusions:The mini-laparoscope for inguinal hernia surgery in children is feasible and safe, with little trauma and rapid recovery.

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吴洋鹏|张文兴|冷大跃|刘欢|李岚.微型腹腔镜治疗学龄前小儿腹股沟疝:附212例报告[J].中国普通外科杂志,2010,19(4):403-405.
DOI:10.7659/j. issn.1005-6947.2010.04.018

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  • 收稿日期:2009-05-05
  • 最后修改日期:2009-11-27
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  • 在线发布日期: 2010-04-15