摘要
目的探讨腹腔镜技术在腹股沟嵌顿疝复位及修补中的价值。方法回顾性分析我院2007年3月至2008年2月期间利用腹腔镜治疗11例急性腹股沟嵌顿疝患者(腹股沟直疝3例,腹股沟斜疝8例)的临床资料。结果7例患者在全身麻醉后嵌顿疝自动复位,4例在腹腔镜下行松解、复位;11例患者在腹腔镜下观察或采取促进嵌顿肠管血液循环恢复的措施后,均行经腹腹膜前补片植入术(TAPP)。术后所有患者均恢复良好,平均随访6.6个月(2～12个月),无复发。结论腹腔镜下腹股沟嵌顿疝复位及修补是一种安全并具有一定优势的手术方式,值得在临床推广。
Objective To investigate the value of laparoscopy in resetting and repairing of inguinal incarcerated hernia. Methods Clinical data of 11 patients with acute inguinal incarcerated hernia treated with laparoscopy from March 2007 to February 2008 were reviewed, including 3 cases of direct inguinal hernia and 8 cases of oblique inguinal hernia. Results There were 7 patients with incarcerated hernia who were reset automatically after general anaesthesia, and 4 patients who were reset with laparoscopy. All the hernias were repaired with the transabdominal preperitoneal （TAPP） method after observed or improved the blood cycle of the incarcerated intestinal tract under laparoscopy. Average follow-up time was 6.6 months （2-12 months） after operation. Good recover and no recurrence were showed in all patients. Conclusion Laparoscopy is a safe technology in resetting and repairing of inguinal incarcerated hernia.
出处
《中国普外基础与临床杂志》
CAS
2008年第12期923-925,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
腹腔镜术
腹股沟嵌顿疝
Laparoscopy Inguinal incarcerated hernia
