·临床研究·经脐单部位腹腔镜联合腹膜外注水法治疗儿童巨大腹股沟斜疝何龙贵何亦工∗吴海彪何少华①肖智祥①(武夷山市立医院普外科,武夷山354300)【摘要】目的探讨经脐单部位腹腔镜联合腹膜外注水法治疗儿童巨大腹股沟斜疝的效果。方法回顾性分析2019年6月~2022年9月我院65例内环口疝囊颈直径≥15mm的原发性单侧巨大腹股沟斜疝患儿资料,其中37例行经脐单部位腹腔镜联合腹膜外注水法疝囊高位结扎术(经脐组),另28例行常规三孔腹腔镜疝囊高位结扎术(三孔组)。比较2组手术时间、术后24小时切口疼痛评分、住院时间、切口并发症及术后1年复发和睾丸高位情况。结果2组均顺利完成手术,术中出血<2ml,无术中并发症。经脐组术后24小时疼痛评分低于三孔组[1.0(1.0,1.0)分vs.3.0(2.0,3.0)分,Z=-6.182,P=0.000],2组手术时间、住院时间、切口并发症差异无统计学意义(P>0.05)。2组随访至术后1年,经脐组无复发、睾丸高位,三孔组1例复发(P=0.431),1例睾丸高位(P=0.422)。结论熟练掌握手术技巧后,经脐单部位腹腔镜联合腹膜外注水法治疗儿童巨大腹股沟斜疝,具有切口美观、恢复快、并发症少的优点。【关键词】单部位腹腔镜手术;儿童;巨大;腹股沟斜疝;腹膜外注水法文献标识:A文章编号:1009-6604(2023)08-0592-05doi:10.3969/j.issn.1009-6604.2023.08.007TransumbilicalSingleSiteLaparoscopyCombinedWithExtraperitonealWaterInjectionforLargeObliqueInguinalHerniainChildrenHeLonggui,HeYigong,WuHaibiao,etal.DepartmentofGeneralSurgery,WuyishanMunicipalHospital,Wuyishan354300,ChinaCorrespondingauthor:HeYigong,E-mail:1066300096@qq.com【Abstract】ObjectiveToinvestigatetheclinicaleffectoftransumbilicalsinglesitelaparoscopycombinedwithextraperitonealwaterinjectioninthetreatmentoflargeobliqueinguinalherniainchildren.MethodsAretrospectiveanalysiswasperformedon65childrenwithprimaryunilateralgiantinguinalherniawithcervicaldiameter≥15mminourhospitalfromJune2019toSeptember2022.Amongthem,37patientsunderwenthighligationoftheherniasacbytransumbilicalsinglesitelaparoscopycombinedwithexternalperitonealwaterinjection(transumbilicalgroup).Theother28patientsunderwentconventionalthree-portlaparoscopichighligationofherniasac(three-portgroup).Theoperationtime,incisionpainscore24hoursaftersurgery,lengthofhospit...
