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目的:探讨经腹腔修补术治疗小儿复发性斜疝的安全性和疗效。方法:总结分析了我院2005年4月至2009年3月30例经腹腔修补小儿复发性斜疝手术的临床资料。30例患儿均为男性,年龄(3.10±1.36)岁,全部证实为小儿腹股沟斜疝行疝囊高位结扎术后1年内复发仍为腹股沟斜疝者,其中包括嵌顿型斜疝4例。结果:30例患儿手术均获成功,平均手术时间(31.0±5.28)分,术中失血(10.85±4.56)mL,术后平均住院天数(6.5±1.38),术中均无精索及膀胱损伤,术后均无阴囊血肿及远端疝囊积液,术后随访至今,无一例复发。结论:经腹腔修补术治疗小儿复发性斜疝术具有术中出血少,损伤小,并发症少,术后复发率低等优点,是一种安全有效的治疗方式,值得基层医院推广。
Objective: To investigate the safety and efficacy of transabdominal repair for children with recurrent hernia. Methods: The clinical data of 30 cases of recurrent indirect hernia repair by transperitoneal resection in our hospital from April 2005 to March 2009 were summarized and analyzed. All 30 patients were male, age (3.10 ± 1.36) years of age, all confirmed as inguinal hernia in children with high ligation within 1 year after the recurrence of inguinal hernia is still, including incarcerated hernia in 4 cases. Results: All the 30 cases were operated successfully. The average operation time was 31.0 ± 5.28, the blood loss during operation was 10.85 ± 4.56 mL, and the average postoperative hospital stay was 6.5 ± 1.38. There was no intraoperative spermatic cord and bladder No postoperative scrotal hematoma and distal hernia sac effusion, follow-up so far, no case of recurrence. CONCLUSION: Transabdominal repair of pediatric recurrent hernia has the advantages of less intraoperative bleeding, less injury, fewer complications and low postoperative recurrence rate. It is a safe and effective treatment and is worth promoting in primary hospitals.