摘要目的 探讨腹腔镜自体组织修补术治疗小儿腹股沟斜疝的临床应用价值.方法 回顾分析近5年行腹腔镜疝囊高位结扎术加自体组织修补术治疗190例小儿腹股沟斜疝的临床资料,单侧斜疝153例,双侧斜疝(包括对侧隐性疝)37例;其中平诊斜疝183例(包括复发疝11例),急诊嵌顿性斜疝7例.结果 190例均手术成功.平均手术时间单侧10 min,双侧18 min,术后平均住院为1 d,无术后并发症发生.全组病例术后均获得随访,随访时间为6个月～5年,复发5例.结论 腹腔镜自体组织修补术治疗小儿腹股沟斜疝疗效满意,手术时间短,创伤小,复发率低,并发症少,术后恢复快,同时可用于处理对侧腹股沟隐性疝或者用于双侧腹股沟疝修补术.

abstractsObjective Study the clinical value of using laparoscopic treatment in the autologous tissue repair for curing children's indirect inguinal hernia. Method Review and analyze 190 children's indirect inguinal hernia cases cured by using laparoscopic high ligation of hernia sac and autologous tissue repair in the past 5 years. Out of them, 153 cases are unilateral indirect hernia and 37 cases bilateral indirect hernia.183 cases (including 11 recurrent hernia cases) are normal cases of oblique hernia and 7 are urgency cases of incarcerated oblique hernia. Results All 190 cases have successful operations. The average operation time for unilateral indirect hernia is 10 minutes.Forbilateralindirect hernia,it is 18 minutes.The average time of stay in hospital is 1 day and there is no complication occurred after operation. Follow-up visits have been carried out for all cases. The duration ranges from 6 months to 5 years and there are five recurrent cases.Conclusion It is effective to use laparoscopic treatment in the autologous tissue repair for curing children's indirect inguinal hernia. It has many advantages, such as short operation time, few operative damages and complications, low recurrence rate and quick recovery. The treatment can be applied to contra-lateral oblique inguinal hernia or bilateral inguinal hernia repairs.