[1]孔赤寰,王莹,张柏①,等.单孔腹腔镜下应用改型硬膜外针治疗小儿腹股沟斜疝[J].中国微创外科杂志,2009,09(7):587-588.
　Kong Chihuan*,Wang Ying*,Zhang Bai,et al.Singleport Laparoscopy with Modified Epidural Needle for Indirect Inguinal Hernia in Children: Report of 70 Cases[J].Chinese Journal of Minimally Invasive Surgery,2009,09(7):587-588.
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单孔腹腔镜下应用改型硬膜外针治疗小儿腹股沟斜疝()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年7期
页码:
587-588
栏目:
出版日期:
2009-08-25

文章信息/Info

Title:
Singleport Laparoscopy with Modified Epidural Needle for Indirect Inguinal Hernia in Children: Report of 70 Cases
作者:
孔赤寰; 王莹; 张柏①; 苏芸; 李龙**
首都儿科研究所外科，北京100020
Author(s):
Kong Chihuan*;  Wang Ying*;  Zhang Bai;  et al.
*Department of Surgery, Capital Institute of Pediatrics, Beijing 100020, China
关键词:
腹腔镜; 腹股沟斜疝; 小儿
Keywords:
Laparoscopy; Indirect inguinal hernia; Children
分类号:
R726.1
文献标志码:
A
摘要:
目的探讨单孔腹腔镜下应用改型硬膜外针治疗小儿腹股沟斜疝的价值。方法2007年5月~2008年12月，选择腹股沟斜疝患儿70例。年龄6个月～3岁56例,4～7岁10例,7~13岁4例。单侧51例，双侧19例。于脐内置入5或10 mm腹腔镜，采用自行设计并改型的硬膜外针(距针尖0.5 cm处有V形缺口)，于腹横纹插入并带入4号丝线，于腹膜外环形高位结扎内环口，并悬吊于腹壁。结果全部手术均成功，15例术中发现对侧隐性斜疝。手术时间51例单侧5～15 min，19例双侧15～30 min。术后随诊3～21个月，其中22例>12个月，无复发。结论在单孔腹腔镜下应用改型硬膜外针高位结扎内环口并悬吊治疗小儿腹股沟斜疝，具有损伤小、恢复快、无瘢痕，同时能发现并治疗对侧潜在小儿斜疝的优点。
Abstract:
ObjectiveTo evaluate the efficacy of laparoscopic treatment with one trocar for children with indirect inguinal hernia. MethodsFrom May 2007 to December 2008, 70 children with indirect inguinal hernia underwent laparoscopic high ligation of hernia sac by using a modified epidural needle in our hospital. Among the patients, 56 children aged from 6 months to 3 years, 10 aged 4 to 7, and 4 aged 7 to 13. Nineteen of the children had the disease in both sides, while the other 51 had unilateral hernia. A trocar was place into the abdominal cavity through the umbilicus with a modified epidural needle to introduce 40 silk suture. High ligation of the hernia was then performed, and fixed on the abdominal wall.ResultsThe operation was successfully completed in all of the cases. The operation time ranged from 5 to 15 min in unilateral cases, and 15 to 30 min in bilateral cases. Followup was achieved for 3 to 21 months in this series (over 12 months in 22 cases). During the period, no recurrence was found. ConclusionsLaparoscopic high ligation of inguinal hernia sac with modified epidural needle is effective for children with minimal invasion and a low recurrence rate, without leaving scars at the abdomen.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：首发基金（2005-1034）；国家科技支撑计划课题（2006BAI05A06）**通讯作者①（辽宁省葫芦岛惠好妇女儿童医院外科，葫芦岛125001）
更新日期/Last Update: 2013-09-17