切换至 "中华医学电子期刊资源库"

中华普通外科学文献(电子版) ›› 2014, Vol. 08 ›› Issue (04) : 283 -285. doi: 10.3877/cma.j.issn.1674-0793.2014.04.007

所属专题: 文献

论著

疝囊高位结扎和脐内侧襞加强耻骨肌孔在儿童腹股沟复发疝腹腔镜修补术中的应用
余义1,(), 马彦生1, 陆燕1, 李万福2   
  1. 1. 831800 新建生产建设兵团农六师奇台医院普外科
    2. 新疆医科大学第一附属医院小儿外科
  • 收稿日期:2014-04-18 出版日期:2014-08-01
  • 通信作者: 余义

Application of laparoscopic high ligation and strengthened myopectineal orifice in the treatment of pediatric recurrent inguinal hernia

Yi Yu1,(), Yansheng Ma1, Yan Lu1, Wanfu Li2   

  1. 1. Department of General Surgery of Xinjiang Qitai Hospital of Nongliushi Production and Construction Group, Qitai 831800, China
  • Received:2014-04-18 Published:2014-08-01
  • Corresponding author: Yi Yu
  • About author:
    Corresponding author: Yu Yi, Email:
引用本文:

余义, 马彦生, 陆燕, 李万福. 疝囊高位结扎和脐内侧襞加强耻骨肌孔在儿童腹股沟复发疝腹腔镜修补术中的应用[J/OL]. 中华普通外科学文献(电子版), 2014, 08(04): 283-285.

Yi Yu, Yansheng Ma, Yan Lu, Wanfu Li. Application of laparoscopic high ligation and strengthened myopectineal orifice in the treatment of pediatric recurrent inguinal hernia[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2014, 08(04): 283-285.

目的

探讨疝囊高位结扎和脐内侧襞加强耻骨肌孔在儿童腹股沟复发疝腹腔镜修补术中的作用。

方法

回顾性分析28例接受疝囊高位结扎和脐内侧襞加强耻骨肌孔治疗小儿腹股沟复发疝的患者资料。

结果

25例完成单侧手术,2例完成双侧手术;1例脐正中襞和左右脐内侧襞较窄,不能实施原计划手术,行内环口高位双重结扎。术后1例患侧阴囊气肿,持续5 d后消失;1例患侧腹股沟区牵拉疼痛不适感,口服可缓解,持续12 d逐渐消失。

结论

该手术是治疗大龄儿腹股沟复发疝的新方法,但有长时间的腹股沟区牵拉疼痛不适感,远期效果有待更长时间的随访和大宗病例的治疗效果。

Objective

To explore the application of laparoscopic high ligation and strengthened myopectineal orifice in the treatment of pediatric recurrent inguinal hernia.

Methods

The clinical data of twenty eight cases were collected for a retrospective analysis.

Results

Twenty-five cases finished a bilateral operation and 2 unilateral operations. The other one underwent inner high ligation due to the navel narrowness. One patient had postoperative scrotum swelling and disappeared five days later, while one patient suffered from pulling and pain in the inguinal area and also disappeared 12 days later because of taking analgesics.

Conclusions

It is a new technique for treating pediatric recurrent inguinal hernia, but needs further long-term follow-up and multicenter analysis for the complications of inguinal pulling and pains.

[1]
李炳根,聂向阳.儿童腹股沟疝的腹腔镜手术治疗进展[J]. 中华外科杂志,2013,51(4): 328-330.
[2]
朱彩荣,聂向阳,方锦标, 等.一孔法腹腔镜小儿腹股沟斜疝高位结扎术的疗效评价[J]. 中华普通外科杂志,2009, 24(2): 160-161.
[3]
梁健升,姚干,李宇洲, 等.7000例腹腔镜治疗小儿腹股沟斜疝随访结果[J]. 广州医学院学报,2011,39(5): 61-63.
[4]
肖乾虎.腹股沟疝的围手术期处理[J/CD].中华疝和腹壁外科杂志:电子版,2009,3(1): 1-8.
[5]
中华外科学会疝和腹壁外科学组.成人腹股沟疝、股疝手术治疗方案(修改稿)[J].中华普通外科杂志,2004, 19(2): 162.
[6]
陈杰,申英末,刘素君, 等.善愈腹膜前腹股沟无张力疝修补术[J/CD]. 中华疝和腹壁外科杂志:电子版,2008,2(1):4-5.
[7]
Bisgaard T,Bay-Nielsen M,Kehlet H. 青年男性病人的腹股沟疝修补:用补片还是单纯缝合?[J].中国实用外科杂志,2011,31(8): 752-755.
[8]
陈开运,向国安,王汉宁, 等. 腹腔镜疝囊高位结扎联合脐正中襞覆盖内环治疗小儿腹股沟疝[J].中华外科杂志,2007,45(3): 207-209.
[9]
董建,许世吾,吴钢, 等.国人耻骨肌孔和腹膜前间隙的应用解剖研究[J].上海医学,2010,33(9): 845-848.
[10]
陈开运,向国安,王汉宁, 等. 免补片法腹腔镜腹股沟疝修补术[J]. 中华普通外科杂志,2009, 24(11): 874-877.
[11]
中华医学会外科学分会外科手术学组.疝外科缝合技术和缝合材料选择专家共识(2008)[J].中国实用外科杂志,2008, 28(9): 821-823.
[12]
Griffin KJ,Harris S,Tang TY, et al. Incidence of contralateral occult inguinal hernia found at the time of laparoscopic trans-abdominal pre-peritoneal(TAPP) repair[J] . Hernia, 2010, 14(4): 345-349.
[13]
李鹏,郭正团,郭新奎.腹腔镜与传统方法治疗近期反复嵌顿的小儿腹股沟疝的比较[J]. 中国微创外科杂志,2013,13(3):243-245.
[1] 李芳, 王峻峰. 腹腔镜经腹腹膜前疝修补术治疗腹股沟复发疝的临床疗效及安全性[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(04): 401-409.
[2] 周上军, 周学鲁, 占平, 张剑锋, 张继峰, 胡灏, 蔡伟斌. 前入路腹膜前Kugel补片治疗无张力腹股沟疝修补术后复发疝[J/OL]. 中华疝和腹壁外科杂志(电子版), 2018, 12(01): 38-42.
阅读次数
全文


摘要