微型腹腔镜下内环高位结扎联合包皮环套术治疗小儿腹股沟斜疝及包茎
腹腔镜术；疝,腹股沟；包茎；儿童,,腹腔镜术；疝，腹股沟；包茎；儿童,【关键词】腹腔镜术；疝，腹股沟；包茎；儿童,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：探讨微型腹腔镜下内环高位结扎联合包皮环套术治疗小儿腹股沟斜疝及包茎的可行性与优点。方法：对9例斜疝患儿先行微型腹腔镜下内环高位结扎术,随后对有包茎的患儿行包皮环套术。结果：患儿均顺利完成腹腔镜下内环高位结扎术和包皮环套术。术后恢复顺利,随访1~9个月，斜疝无复发。结论：微型腹腔镜下内环高位结扎术治疗小儿腹股沟斜疝较传统手术具有创伤小、美观、操作简便、手术时间短、并发症少、术后康复快等优点,联合包皮环套术术后容易清洗、护理，避免了二次手术和麻醉,减少了患儿的痛苦及治疗费用，是安全可行的。【关键词】 腹腔镜术；疝，腹股沟；包茎；儿童
Microlaparoscopic high ligation of hernial sac combined with circumcision using circumcision rings in the treatment of indirect inguinal hernia and phimosis in children
SITU Sheng,YU Jianxiong,ZHOU Peihua,et al.
Central Hospital of Kaiping,Jiangmen 529300,China
【Abstract】 Objective:To explore the feasibility and advantages of microlaparoscopic high ligation of hernial sac combined with circumcision using circumcision rings in the treatment of indirect inguinal hernia and phimosis in children.Methods:Nine cases with indirect inguinal hernia underwent microlaparoscopic high ligation of hernial sac and then had prepuce removed using circumcision rings.Results:All the operations were completed successfully.No recurrence was found during the followup period of 19 months.Conclusions:Microlaparoscopic hernia sac high ligation for indirect inguinal hernia has the advantages of minor damage,shorter operation time,less complication,quicker recovery,more beautiful and simple than traditionary operation.To combine circumcision using circumcision rings is safe and feasible,and reduces the pain and costs of the patient. ......
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