[1]文焰林,王鹏礼,邓思寒,等.带操作孔腹腔镜单孔法治疗小儿鞘膜积液的疗效分析[J].中华腔镜泌尿外科杂志(电子版),2017,11(03):162-165.[doi:10.3877/cma.j.issn.1674-3253.2017.03.005 ]
　Wen Yanlin,Wang Pengli,Deng Sihan,et al.Single port surgery by laparoscope with a channel to treat pediatric hydrocele[J].,2017,11(03):162-165.[doi:10.3877/cma.j.issn.1674-3253.2017.03.005 ]
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带操作孔腹腔镜单孔法治疗小儿鞘膜积液的疗效分析()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年03期
页码:
162-165
栏目:
临床研究
出版日期:
2017-06-30

文章信息/Info

Title:
Single port surgery by laparoscope with a channel to treat pediatric hydrocele
作者:
文焰林1; 王鹏礼2; 邓思寒2; 王敏2; 张宗平1
637000 四川南充，川北医学院第二临床学院·南充市中心医院泌尿外科1，小儿外科2
Author(s):
Wen Yanlin1;  Wang Pengli2;  Deng Sihan2;  Wang Min2;  Zhang Zongpin1.
1Department of Urology, 2Department of Pediatric Surgery, the Second Clinical Hospital of North Sichuan Medical College, Nanchong 637000, China
关键词:
鞘膜积液;  小儿;  腹腔镜;  单孔法
DOI:
10.3877/cma.j.issn.1674-3253.2017.03.005
摘要:
目的 探讨带操作孔腹腔镜单孔法治疗小儿鞘膜积液的效果。方法 回顾分析2015 年7 月至2016 年10 月56 例鞘膜积液患儿采用带操作孔腹腔镜单孔法治疗资料，于脐下缘做1 cm 弧形切口，建立气腹，置入10 mm 0°腹腔镜（直径10 mm、带一个操作孔），于内环口体表投影处做2 mm 皮肤切口，用4 号慕丝线穿过8 号针头在腹腔镜直视下经皮穿刺到腹膜与腹横肌间隙，环绕结扎内环口。结果 手术时间14～30 min，平均20 min，术中发现对侧隐性鞘状突口未闭合6 例，均行双侧修补，无阴囊血肿、伤口感染及腹腔脏器损伤。术后住院时间2～3 d。随访2～6 个月，复发1 例，无睾丸萎缩发生，手术有效率为98.21%（55/56），复发率为1.79%（1/56）。结论带操作孔腹腔镜单孔法治疗小儿鞘膜积液疗效确切，患儿恢复快，创伤小，复发率低，是安全、微创、美观的手术方式，值得临床推广。

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备注/Memo

备注/Memo:
基金项目：四川省卫生和计划生育委员会科研课题（编号150094）；川北医学院科研发展计划项目资助（CBY15-A-YB05）
通讯作者：张宗平，Email: uroncch@163.com
更新日期/Last Update: 2017-06-25