腹腔镜下经脐单部位手术治疗儿童嵌顿性腹股沟疝的疗效分析
Analysis of the Efficacy of Laparoscopic Transumbilical Single-Site Surgery for Treating Incarcerated Inguinal Hernia in Children
DOI: 10.12677/acm.2026.1682944, PDF,   
作者: 鞠凌鹏, 侯金平*：重庆医科大学附属儿童医院普外新生儿外科，国家儿童健康与疾病临床医学研究中心，儿童发育疾病研究教育部重点实验室，重庆结构性出生缺陷与重建重点实验室，重庆
关键词: 儿童；嵌顿性腹股沟斜疝；腹腔镜；Children； Incarcerated Inguinal Hernia； Laparoscope
摘要: 目的：本研究旨在评估腹腔镜经脐单部位疝囊高位结扎术治疗儿童嵌顿性腹股沟斜疝的安全性与有效性，并总结临床经验。方法：回顾性分析2021年7月至2024年5月期间，重庆医科大学附属儿童医院普外新生儿外科采用腹腔镜经脐单部位手术治疗的83例嵌顿性腹股沟斜疝患儿的临床资料。结果：所有手术均顺利完成，平均手术时间为31.59分钟；在院期间及术后随访中，并发症发生率仅为1.2%，未出现肠道损伤、膀胱损伤等严重并发症。结论：腹腔镜经脐单部位手术是治疗儿童嵌顿性腹股沟斜疝的安全可行方法，同时具有创伤小、伤口美观的优势。
Abstract: Objective: This study aimed to evaluate the safety and effectiveness of laparoscopic transumbilical single-site high ligation of hernia sac for the treatment of incarcerated indirect inguinal hernia in children and to summarize clinical experience. Methods: A retrospective analysis was conducted on the clinical data of 83 children with incarcerated indirect inguinal hernia who underwent laparoscopic transumbilical single-site surgery in the Department of General and Neonatal Surgery at Children’s Hospital of Chongqing Medical University from July 2021 to May 2024. Results: All surgeries were successfully completed, with an average operative time of 31.59 minutes. During hospitalization and postoperative follow-up, the complication rate was only 1.2%, with no severe complications such as intestinal injury or bladder injury. Conclusion: Laparoscopic transumbilical single-site surgery is a safe and feasible method for treating incarcerated indirect inguinal hernia in children, offering the advantages of minimal trauma and aesthetic wound outcomes.
文章引用：鞠凌鹏, 侯金平. 腹腔镜下经脐单部位手术治疗儿童嵌顿性腹股沟疝的疗效分析[J]. 临床医学进展, 2026, 16(8): 1638-1643. https://doi.org/10.12677/acm.2026.1682944

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