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目的探讨二孔法腹腔镜治疗小儿腹股沟斜疝并发症的原因分析及预防策略。方法选取桂平市人民医院2015年收治的小儿腹股沟斜疝患儿186例,均予以二孔法腹腔镜治疗。统计患儿手术时间、住院时间、并发症发生率、随访6个月复发情况,并分析患儿并发症发生原因和对策。结果 186例患儿手术时间为(16.5±2.7)min,住院时间为(2.6±0.5)d。随访6个月未出现复发。术后并发症发生率为4.30%,并发症发生原因为术者技术不娴熟因素(62.5%)、术后护理不当(37.5%)、患儿自身体质因素(12.5%)。结论二孔法腹腔镜治疗小儿腹股沟斜疝具有较高的临床应用价值,但术后出现并发症的可能性较高,需通过完善术前准备、提高术者操作技术等,提高手术治疗效果。
Objective To investigate the causes and preventive strategies of two-hole laparoscopy in the treatment of children with inguinal hernia complications. Methods 186 cases of children with inguinal indirect hernia admitted to Guiping Municipal People’s Hospital in 2015 were treated by two-hole laparoscopy. Statistics of children with operation time, hospital stay, the incidence of complications, follow-up of 6 months recurrence, and analyze the causes and countermeasures of children with complications. Results The operation time of 186 children was (16.5 ± 2.7) min and the length of stay was (2.6 ± 0.5) d. Follow-up 6 months did not recur. The incidence of postoperative complications was 4.30%. The causes of complications were technical unscrupulous (62.5%), improper postoperative care (37.5%) and children’s own constitutional factors (12.5%). Conclusion The two-hole laparoscopic treatment of infantile inguinal hernia has a high clinical value, but the possibility of postoperative complications is high, we need to improve preoperative preparation, improve the operation of the surgeon technique to improve the effect of surgical treatment.