首页|经脐环上缘疝修补术治疗儿童脐上3cm以内白线疝

经脐环上缘疝修补术治疗儿童脐上3cm以内白线疝

扫码查看
目的 探讨经脐环上缘入路筋膜下间隙修补脐上3cm以内白线疝的安全性和有效性。方法 回顾性分析我院2016 年6 月~2022 年7 月白线疝修补术资料,26 例彩超检查提示白线疝下缘至脐上缘距离≤3 cm,经脐环上缘入路筋膜下间隙实施白线疝修补术。男7 例,女19 例。年龄7 个月~11 岁,中位数3 岁。疝囊下缘至脐上缘距离(1。46±0。66)cm,白线疝疝环直径(1。16±0。57)cm。结果 手术过程顺利,手术时间(39。1±26。3)min,无并发症,术后1 天出院。随访时间1 年2 个月~7 年3 个月,中位数5 年1 个月。无伤口感染、出血等并发症,无白线疝复发和皮肤肉芽肿形成。结论 经脐环上缘入路修补儿童脐上3cm以内白线疝安全、有效,切口美观。
Transumbilical Approach Repair for Hernia of Linea Alba Within 3 cm Above the Umbilicus in Children
Objective To investigate the safety and effectiveness of transumbilical repair for hernia of linea alba within 3 cm above the umbilicus.Methods Clinical data of 26 patients who underwent transumbilical approach hernia repair in our hospital from June 2016 to July 2022 were retrospectively analyzed.Color ultrasound examination showed that the distance from the lower edge of the hernia to the upper edge of the umbilicus was≤3 cm.The hernia repair was performed through the fascial space via the upper edge approach of the umbilical ring.There were 7 boys and 19 girls.The age was 7 months to 11 years old(median,3 years old).The distance from the lower edge of the hernia sac to the upper edge of the umbilicus was(1.46±0.66)cm,and the diameter of the hernia of linea alba was(1.16±0.57)cm.Results The surgery was completed smoothly.The operation time was(39.1±26.3)min.No complication was noted.All the patients were discharged one day after surgery.The follow-ups lasted for 1 year and 2 months to 7 years and 3 months(median,5 years and 1 month).No wound infection,bleeding or other complications occurred.No recurrence of hernia or formation of skin granulomas happened.Conclusion Transumbilical approach repair for hernia of linea alba within 3 cm above the umbilicus is safe and effective,with good cosmetic results.

Hernia of linea albaTransumbilical approachChildren

叶茂、李旭、张军、陈震、耿园园、刘雪来

展开 >

首都儿科研究所附属儿童医院普通新生儿外科,北京 100020

白线疝 经脐入路 小儿

北京市自然科学基金中国医学科学院小儿外科微创诊疗创新单元首都儿科研究所所级课题

72220152021RU015LCYJ-2023-07

2024

中国微创外科杂志
北京大学

中国微创外科杂志

CSTPCD北大核心
影响因子:2.21
ISSN:1009-6604
年,卷(期):2024.24(1)
  • 13