超微小切口治疗小儿腹股沟斜疝

Ultra Small Incision to Treat Children with Inguinal Hernia

摘要: 目的：评价超微创小切口治疗小儿腹股沟斜疝的临床效果。方法：采用腹股沟区微创小切口治疗小儿腹股沟斜疝197例，年龄7个月~3岁，平均2.6岁。结果：手术过程均顺利，手术时间9~25 min，平均19 min，术后2~3 d出院，197例中无1例复发，无切口感染、精索扭转及睾丸萎缩等并发症，切口隐蔽、瘢痕较小，美容效果好。结论：该术式有很多的优点：操作简单，切口超小，无瘢痕，产生的疼痛轻，造成的损伤小，患者的恢复很快，手术的时间和住院的时间都很短，花费的费用比较低，该手术疗效可靠，而且很安全，手术治疗后很少出现并发症，该病的复发率低等，在临床上很值得进行推广运用。

Abstract: Objective: To evaluate the clinical effect of minimally invasive incision in the treatment of inguinal hernia in children. Methods: The inguinal region of minimally invasive treatment for pediatric in-guinal hernia in 197 cases, aged from 7 months - 3 years (average: 2.6 years old). Results: The surgery was successful; the operation time was 9 - 25 minutes (average: 19 minutes); patents dis-charge 2 - 3 days after surgery without recurrence in 197 cases, without incision infection, without testicular torsion and atrophy of testis, with concealed incision and small scar; so it has good cos-metic effect. Conclusion: This method has many advantages. The operation is simple with ultra mini incision and without scar; the pain is light; the damage is small, and patients recover quickly; the operation time and hospitalization time are very short; the cost is relatively low. The surgical curative effect is reliable and safe, with few complications after surgical treatment; the recurrence rate is low, and is worthy of promotion in clinical application.