【摘要】 目的:探讨改良双孔法微型腹腔镜治疗小儿腹股沟斜疝的应用价值。方法:用改进的腹壁应急缝合针于微型腹腔镜下,用器械钳辅助配合,荷包缝合内环口治疗小儿腹股沟斜疝。结果:治疗小儿斜疝120例,单侧斜疝94例,双侧斜疝26例,隐匿性疝13例。单侧疝手术时间8～15min,平均10min,双侧疝18min,无阴囊水肿、感染、睾丸萎缩、医源性隐睾等并发症发生。术后随访1～15个月,无复发。结论:改良双孔法微型腹腔镜治疗小儿腹股沟斜疝安全、可靠、美观并且操作简便,值得基层医院推广应用。更多还原

【Abstract】 Objective:To discuss the value of modified diplopore microlaparoscopic treatment for indirect inguinal hernia in children.Methods:In the microlaparoscopic surgery,the internal ring was purse-string sutured by modified abdominal wall emergency suture needle and forceps.Results:The procedure was successfully performed in 120 cases,in which there were 94 unilateral hernia,26 bilateral hernia and 13 latent hernia.The duration of unilateral hernia operation was 8-15min,averaged 10min;and it was 18min for inbilateral hernia.No complications,such as scrotum edema,infection,testicular atrophy,iatrogenic cryptorchism and so on,occured.No recurrence was found after 1-15 months follow-up.Conclusions:Modified diplopore microlaparoscopy is a safe cosmetic easy and promising technology,which should be generalized in primary hospital.更多还原