查詢結果分析
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題 名 | Intraoperative Non-Puncture Laparoscopic Examination of Contralateral Internal Inguinal Rings is Feasible in Children with Unilateral Hydrocele=手術中對反側鼠蹊內環的腹腔鏡檢查可以適用於單側陰囊水腫的兒童 |
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作 者 | 劉君恕; 錢大維; 魏拙夫; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:4 1998.04[民87.04] |
頁 次 | 頁188-192 |
分類號 | 417.5725 |
關鍵詞 | 陰囊水腫; 鼠蹊疝氣; 腹腔鏡; Hydrocele; Inguinal hernia; Laparoscopy; |
語 文 | 英文(English) |
中文摘要 | 背景 利用疝氣袋中(hernia sac)作腹腔鏡入口,來探看對側鼠蹊內環之非穿 洞性術中腹腔鏡檢查(intraoperative non-puncture laparoscopic examination), 已成 功運用在臨床單側鼠蹊疝的兒童,而此法提供我們作選擇性對側鼠蹊手術探查。同樣地單側 陰囊水腫(hydrocele)的兒童,有可能對側亦將會產生鼠蹊疝氣或陰囊水腫。但因其劍鞘 突(processus vaginalis)在陰囊水腫的兒童一般都是又薄又窄,要作為腹腔鏡入口較困 難。本文探討非穿洞性術中腹腔鏡檢查,是否適用於單側陰囊水腫的兒童。 方法 1993年7月至 1995年9月,共有九十一位接受術中腹腔鏡探看對側鼠蹊內環的單側 陰囊水腫兒童,其結果和同時期接受術中腹腔鏡探看對側鼠蹊內環的三百二十九位單側鼠蹊 疝的兒童比較,其中包括成功率、併發症、對側鼠蹊內環開放率以及追蹤一年以上的對側產 生鼠蹊疝氣或陰囊水腫情形。 結果 九十一位接受術中腹腔鏡探看對側鼠蹊內環的單側陰囊水腫兒童中,三十一位對側是 開放之劍鞘突,有三位檢查失敗,一位術後有傷囗發炎。經追蹤一年以上,術中腹腔鏡探看 認為是閉鎖劍鞘突的病人中,沒有發生對側鼠蹊疝氣或陰囊水腫。此結果和同時期接受術中 腹腔鏡探看對側鼠蹊內環的三百二十九位單側鼠蹊疝氣的兒童相似。 結論 手術中非穿洞性的腹腔鏡檢查也適用於單側陰囊水腫的兒童。 |
英文摘要 | Background. Intraoperative non-puncture laparoscopic examination using the hernia sac as the scope entrance has been successfully conducted in children with unilateral inguinal hernia. This technique selects patients for contralateral inguinal exploration. In spite of the thin and narrow processus vaginalis, children with unilateral hydrocele encounter the same problem of subsequent contralateral inguinal hernia or hydrocele. In this study, we discuss the feasibility of this technique in children with unilateral hydrocele. Methods. From July 1993 to September 1995, 91 children with unilateral hydrocele were examined during surgery at our institution. The results, including success rate, complications, patent rate of contralateral internal ring and contralateral subsequent hernia or hydrocele, at least one year follow-up, were compared with those of 329 children with unilateral hernia undergoing the same examination during this period. Results. A patent contralateral processus vaginalis was recognized in 31 children and all were confirmed by surgical exploration. The examination failed in three patients, of whom two had a tear in the processus vaginalis and one had retroperitoneal air dissection as a result of false insertion of the laparoscopic sheath. One patient had a postoperative wound infection. No patient with contralateral obliterated processus vaginalis developed inguinal hernia or hydrocele during follow-up of at least one year. The results were similar to those of the 329 children with hernia who underwent the same procedure in the same period. Conclusions. Intraoperative non-puncture laparoscopic examination is feasible in children with unilateral hydrocele. |
本系統中英文摘要資訊取自各篇刊載內容。