经脐微型腹腔镜内环高位结扎术联合包皮环套术的临床应用

发布时间：2018-07-28 13:38

【摘要】：目的:探讨经脐微型腹腔镜下内环高位结扎术联合包皮环套术治疗小儿腹股沟疝、精索鞘膜积液及包茎的可行性及优点。方法:对470例腹股沟疝、精索鞘膜积液、包茎患儿先施行经脐微型腹腔镜下内环高位结扎术,随后行包皮环套术。结果:患儿均顺利完成腹腔镜下内环高位结扎术及包皮环套术。术后恢复顺利,随访1~10年,腹股沟疝、精索鞘膜积液无复发。结论:经脐微型腹腔镜下内环高位结扎术治疗小儿腹股沟疝、精索鞘膜积液较传统手术方法具有创伤小、美观、手术操作简便、手术时间短、并发症少、术后康复快等优点。同时联合包皮环套术后容易清洗、护理,避免了二次手术与麻醉,减少了治疗费用,减轻了患儿的痛苦,是安全、可行的。
[Abstract]:Objective: to investigate the feasibility and advantages of high ligation of internal ring combined with prepuce ring in the treatment of inguinal hernia, spermatic sheath effusion and phimosis. Methods: 470 cases of inguinal hernia, spermatocele hydrocele and phimosis were treated with high ligation of the inner ring by transumbilical microlaparoscopy, and then by circumcision. Results: laparoscopic high ligation of inner ring and circumcision were successfully performed in all children. Postoperative recovery was smooth, followed up for 1 ~ 10 years, inguinal hernia and spermatic sheath hydrocele did not recur. Conclusion: the treatment of inguinal hernia with high ligation of internal ring under transumbilical mini-laparoscope has the advantages of less trauma, better appearance, simpler operation, shorter operation time, less complications and faster postoperative recovery than the traditional surgical method in the treatment of inguinal hernia. At the same time, combined circumcision is easy to clean, nursing care, avoid secondary surgery and anesthesia, reduce the cost of treatment, ease the pain of children, is safe and feasible.
【作者单位】：开平市中心医院;
【分类号】：R726.9

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