(江苏省淮安市妇幼保健院小儿外科 江苏 淮安 223000)

    【摘要】目的：介绍腹腔镜治疗女孩复发性斜疝的经验和体会。方法：应用腹腔镜、自制的带线缝针和体外缝合体外打结技术为42例女孩腹股沟斜疝行疝囊高位结扎术,总结临床资料进行分析。结果：无复发,治愈率100 % 。结论：应用腹腔镜技术治疗小儿复发性腹股沟斜疝安全、有效、简单、快捷、损伤小、疤痕细微,比传统的高位结扎术优越。

    【关键词】复发；疝;腹股沟;腹腔镜术;女孩

    【Abstract】Objective：To introduce laparoscopic herniotomy for indirect inguinal hernia in little girls. Methods forty-two little girls with indirect inguinal hernias were treated using laparoscopic instruments , a special needle and a technique of extraabdominal suture and high ligation of the hernia sac. The clinical data were summarized and analyzed retrospectively. ResultsHernias was no recurred. The cure rate of this group was 100 %; No hematoma , no bleeding and no other complications were observed in this group. Conclusion The treatment of indirect recurrent inguinal hernias in children using the laparoscopic technique is simple , safe , effective , and quick ,with least injury and scar. The advantages are greater than those with open techniques. ......