目的探讨腹腔镜下内环高位结扎术治疗小儿腹股沟疝的价值。方法对实验组（腹腔镜下内环高位结扎术组）22例和对照组（开放式手术组）18例在手术时间、术中平均出血量、自主活动恢复时间、发现对侧隐性疝、住院时间、近期及远期并发症的差异等方面进行分析比较。结果实验组在术中平均出血量（1．89±0．31mL）、自主活动恢复时间（10．78±2．1d）、发现对侧隐性疝1例、住院时间（2．0±0．31d）优于对照组（5．04±0．49mL、26．38±3．4d、0例、7．0±1．36d）。实验组的并发症（4例，4/22）少于对照组（13例，13/18）。结论腹腔镜下内环高位结扎术治疗小儿疝气具有手术时间短、术中出血少、损伤小、术后恢复正常活动早、并发症少的优点，是值得推广的一种治疗方式。%Objective To explore the value of laparoscopic inner high ligation in treating pediatric inguinal hernia .Methods The differences in operation time , average amount of intraoperative bleeding , independent activity recovery time , cases with contralateral latent hernia, length of hospital stay and complications of short-term and long-term were analyzed between experimental group ( n=22, group of laparoscopic inner high ligation) and control group(n=18, group of open surgery).Results The experimental group was superior to the control group in average amount of intraoperative bleeding (1.89 ±0.31mL, 5.04 ±0.49mL), independent activity recovery time (10.78 ±2.1d, 26.38 ±3.4d), number of case with contralateral latent hernia (1,0), length of hospital stay (2.0 ±0.31d, 7.0 ± 1.36d).The cases with complications in the experimental group (4, 4/22) were fewer than those in the control group (13, 13/18). Conclusion The advantages of laparoscopic inner high ligation in treating pediatric inguinal hernia include short operation time , little intraoperative bleeding , minor injury, early postoperative recovery and few complications .It is worthy of popularizing .
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