腹腔镜小儿腹股沟斜疝内环口结扎术85例体会

目的：探讨腹腔镜内环口结扎术治疗小儿腹股沟斜疝的临床应用价值。方法：回顾分析2005年8月至2006年10月85例腹股沟斜疝患儿行腹腔镜内环口结扎术的临床资料。结果：85例全部治愈。手术时间单侧5～15min，平均10min；双侧12—28min，平均18min。术后住院1—3d，平均住院2．4d。随访6—28个月，无一例复发。结论：腹腔镜小儿腹股沟斜疝内环口结扎术具有效果好、损伤小、恢复快、住院时间短、复发率低等优点。

The clinical application of laparoscopic high ligation in child indirect inguinal hernia: with a report of 85 cases

Objective:To explore the clinical value of treating child indirect inguinal hernia with laparoscopic technique.Methods:The clinical data of 85 cases of pediatric indirect,inguinal hernia treated with laparoscopic technique from August of 2005 to October of 2006 were analyzed retrospectively.Results:The operations were successful in all of the 85 cases.The mean operation time was 5-15min(mean 10min) in unilateral inderect inguinal hernia;12-28min(mean 18min) in bilateral inderect inguinal hernia,and the hospitalization time after operation was 1 to 3 days(mean 2.4 days).No complication occured in those cases.No recurrence was found at a follow-up of 6-28 months.Conclusions:Laparoscopic high ligation of the hernia sac is safe and effect for pediatric inguinal hernia in children,with advantage of simple performance,short operation time,mini-invasion,quick recovery and low complication rate.