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目的:探讨膀胱镜代替腹腔镜治疗儿童腹股沟疝的可行性及其临床效果。方法:回顾性分析2011年10月至2012年3月我科应用膀胱镜窥镜代替腹腔镜治疗小儿腹股沟疝10例的临床资料。结果:10例均顺利完成手术,无需中转开腹术,术中出血少,术后疼痛轻,术后平均住院3天后均痊愈出院,切口瘢痕外观不明显,无1例出现并发症,随诊1～6月无复发病例。结论:膀胱镜代替腹腔镜治疗儿童腹股沟疝安全可行,治疗效果确切,在无小儿腹腔镜的情况下可用膀胱镜代替。
Objective: To investigate the feasibility and clinical effect of cystoscopy instead of laparoscopic inguinal hernia in children. Methods: A retrospective analysis of 10 cases of pediatric inguinal hernia in our department from October 2011 to March 2012 was performed instead of laparoscopy. Results: All the 10 cases were successfully performed without the need of transit laparotomy, less intraoperative bleeding and less postoperative pain. All patients were discharged after 3 days of hospitalization. The appearance of incision scar was not obvious. No complication occurred in one case. 1 to 6 months without recurrence. Conclusion: Cystoscopy instead of laparoscopic treatment of children with inguinal hernia is safe and feasible, the treatment effect is exact, in the absence of pediatric laparoscopic cystoscopy can be used instead.