腹腔镜下小儿腹股沟隐匿性疝的临床特点分析

目的:分析小儿单侧腹股沟斜疝合并对侧隐匿性疝的临床特点。方法:回顾分析2007年12月至2015年5月为4 232例患儿行腹腔镜疝囊高位结扎术的临床资料。结果:4 232例患儿中男3 776例,女456例,3 919例行单侧腹股沟斜疝手术,1 868例(47.7%)合并对侧隐匿性疝,其中左侧斜疝合并对侧隐匿性疝的比例为50.7%,右侧斜疝合并对侧隐匿性疝的比例为45.9%,差异有统计学意义(χ~2=8.4951,P=0.0036)。结论:对侧隐匿性疝发生率与性别、年龄无关。儿童单侧腹股沟斜疝合并对侧隐匿性疝比例较高,且不随年龄增长而降低。腹腔镜手术可同时探查双侧腹股沟,利于预防性处理对侧隐匿性疝,具有一定的临床优势。

Clinical characteristics of occult contralateral inguinal hernia in children undergoing laparoscopic surgery

Objective:To analyze the clinical characteristics of occult contralateral inguinal hernia in children with unilateral indirect inguinal hernia .Methods:A retrospective analysis was conducted in 4232 children who received laparoscopic high ligation of hernia sac in the Capital Institute of Pediatrics from Dec .2007 to May 2015.Results:In 4232 patients,3776 were male and 456 were female.Unilateral indirect inguinal hernia surgery was performed in 3919,of which 1868 (47.7%) were accompanied with occult con-tralateral inguinal hernia that appeared 50.7%on the right side and 45.9%of the left side,and the difference was statistically signifi-cant(χ2 =8.4951,P=0.0036).Conclusions:Age and gender are not associated with the incidence of occult contralateral inguinal hernia.The incidence of occult contralateral inguinal hernia in children who appear with unilateral indirect inguinal hernia is high ,and does not decrease with age .Laparoscopic approach has advantages in exploration of bilateral inguinal region and prophylactical deal with occult contralateral inguinal hernia .