腹腔镜手术治疗小儿腹股沟斜疝138例

目的探讨腹腔镜手术应用于小儿腹股沟斜疝的临床效果及其价值。方法回顾性分析2009年1月至2011年1月经腹腔镜手术治疗小儿腹股沟斜疝的138例患儿的临床资料，其中男131例，女7例，平均年龄（4．9±0．2）岁。单侧腹股沟斜疝114例，双侧腹股沟斜疝24例；术中发现对侧隐匿疝8例，对侧鞘状突未闭6例。全部患儿均采用腹腔镜手术治疗，均经过术后随访5—8个月，复发患儿再行腹腔镜手术。结果全部患儿均顺利完成手术，手术时间平均21min，住院时间3～5d。随访结果发现术后1个月2例出现复发，再次腹腔镜手术后治愈。结论经腹腔镜下手术治疗小儿膀股沟斜疝是一种专伞有效的手术方式，具有手术时间锕、创伤小、恢每懊的优点。

Analysis of laparoscope surgery in the treatment of 138 children indirect inguinal hernia

Objective To investigate the effects of laparoscope surgery in the treatment of 138 children with indirect inguinal hernia.Methods Retrospective analysis of clinical data of 138 children with indirect inguinal hernia in the disease hospitalized in the first affiliated hospital of Xinxiang Medical University,131 cases were male and 7 females.The average age of(4.9 ± 0.2) years old,114 cases of unilateral inguinal hernia,24 cases of bilateral inguinal hernia.Occult contralateral hernia surgery in 8 cases found,Contralateral processus vaginalis does not close 6 cases.Results All patients were successful surgery,operation time was 21 minutes,hospital stay was 3 to 5 days.Follow-up found that 1 month after relapse occurred in 2 cases,cured after laparoscopic surgery again.Conclusions The treatment of indirect inguinal hernia laparoscopic surgery is a safe and effective surgical method.With a shorter operative time,trauma and faster recovery benefits.