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目的:探讨腹腔镜脐内侧韧带移植修补术治疗小儿腹股沟疝的应用价值。方法:2011年1月至2012年1月为46例腹股沟斜疝患儿行单孔腹腔镜脐内侧韧带移植修补术。结果:46例手术均获成功,手术时间平均15 min;术中无出血、输精管损伤、腹膜后血肿等并发症发生。术后随访3～12个月,无一例复发。结论:腹腔镜脐内侧韧带移植修补术具有患儿创伤小、手术简便、康复快、治愈率高等优点,一般术后无痛苦及复发,易于被接受,值得推广应用。
Objective: To investigate the value of laparoscopic umbilical ligament transplantation for pediatric inguinal hernia. Methods: From January 2011 to January 2012, 46 cases of inguinal hernia were performed with single-hole laparoscopic umbilical transitional umbilical vein graft. Results: All the 46 surgeries were successful. The operation time was 15 min on average. No bleeding, vas deferens injury and retroperitoneal hematoma occurred during operation. All cases were followed up for 3 to 12 months without any recurrence. Conclusion: Laparoscopic transplantation of umbilical medial umbilical ligament has the advantages of small trauma, simple operation, fast recovery and high cure rate. It is easy to be accepted after operation and is worth popularizing and applying.