[1]李永来,刘焕军,李贺.腹腔镜下疝囊高位结扎术与传统术式比较[J].中国微创外科杂志,2007,07(4):376-377.
　Li Yonglai,Liu Huanjun,Li He..Laparoscopic versus conventional high ligation for treating inguinal hernia[J].Chinese Journal of Minimally Invasive Surgery,2007,07(4):376-377.
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腹腔镜下疝囊高位结扎术与传统术式比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年4期
页码:
376-377
栏目:
出版日期:
2007-04-20

文章信息/Info

Title:
Laparoscopic versus conventional high ligation for treating inguinal hernia
作者:
李永来; 刘焕军; 李贺
山东省烟台市牟平人民医院普外科，烟台264100
Author(s):
Li Yonglai;  Liu Huanjun;  Li He.
Department of General Surgery, Mouping People’s Hospital, Yantai 264100, China
关键词:
腹腔镜; 腹股沟斜疝; 交通性鞘膜积液; 疝囊高位结扎术
Keywords:
Laparoscopy; Indirect inguinal hernia; Communicating hydrocele; High ligation
分类号:
R726.1;R656.2+1
文献标志码:
A
摘要:
目的对比分析腹腔镜下疝囊高位结扎术与传统术式的手术效果。方法2002年7月～2004年12月,对94例小儿腹股沟斜疝及交通性鞘膜积液实施疝囊高位结扎术治疗，其中应用自制钩式雪橇针行腹腔镜下疝囊高位结扎术44例（腹腔镜组），传统的经皮切开手术50例（传统组）。结果腹腔镜组较传统组手术时间短［（18±5）min vs（27±8）min, t=-6.436,P=0.000］，术后需用止痛药的例数少（5/44 vs 14/50,χ2=4.017,P=0.045），住院时间短［（3.2±1.2） d vs （7.3±1.9） d,t=-12.311,P=0.000］，住院费用高［（2965.5±516.7）元 vs （2389.7±372.3）元,t=-6.251,P=0.000］。结论腹腔镜下疝囊高位结扎术与传统术式相比，具有手术创伤小、术后疼痛轻、恢复快、住院时间短、无切口瘢痕等优点，是治疗小儿腹股沟斜疝及交通鞘膜积液较理想的手术方式。
Abstract:
ObjectiveTo compare surgical outcomes between laparoscopic high ligation and conventional procedure in the treatment of inguinal hernia.MethodsHigh ligation of the hernial sac was performed in 94 patients with indirect inguinal hernia and communicating hydrocele between July 2002 and December 2004. Fortyfour patients were treated laparoscopically by using a selfmade hooked sledgeshaped needle (Laparoscopic Group), whereas conventional open procedure was conducted in 50 patients (Conventional Group).ResultsAs compared with the Conventional Group, the Laparoscopic Group presented shorter operating time (18±5 min vs 27±8 min,t=-6.436, P=0.000), less postoperative analgesic requirement (5 patients vs 14 patient, χ2 =4017, P=0.045), shorter hospitalization length (3.2±1.2 d vs 7.3±1.9 d,t=-12.311, P=0.000), and higher total expenditure (2965.5±516.7 yuan vs 2389.7±372.3 yuan,t=-6.251, P=0.000).ConclusionsCompared to conventional procedure, laparoscopic high ligation of hernial sac has advantages of minimal invasion, less pain, quicker recovery, shorter hospitalization, and better cosmetic results. It is an ideal procedure for treating pediatric indirect inguinal hernia and communicating hydrocele.

参考文献/References:

[1]刘焕军，安郁利，李贺. 特制钩式雪橇针行腹腔镜下疝囊高位结扎术48例的体会. 腹腔镜外科杂志，2005，8（4）：210-211.
[2]吴阶平，裘法祖，主编. 黄家驷外科学.第6版. 中册. 北京：人民卫生出版社，2003.910-917.
[3]李宇洲，梁健升.微型腹腔镜下小儿斜疝手术的改进.中国微创外科杂志，2001，1：272-273.
[4]曲金龙，周致红，于文涛.微型腹腔镜治疗小儿斜疝100例经验.中国微创外科杂志，2003，3（1）：79.

更新日期/Last Update: 2013-11-29