疝气钩针协助单孔腹腔镜手术治疗腹股沟嵌顿性斜疝患儿效果

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Effect of Hernia Crochet Assisted Single-hole Laparoscopic Surgery in the Treatment of Children with Inguinal Incarcerated Oblique Hernia/ZHANG Peng， SHU Fang， XIAO Yun， ZHONG Bin， WU Shuqing.//Medical Innovation of China， 2025， 22（10）： 071-074

[Abstract]Objective： To investigate the effect of hernia crochet assted single-hole laparoscopic surgery inthetreatmentofchildrenwithinguinalincarceratedobliquehemia.Method：Atotalof113childrenwith inguinal incarceratedobliquehernia treated in Ganzhou Maternal and Child Health Hospitalfrom January 2022to December 2023 were selected and divided intotwo groups according to diffrent surgical methods， including control group（ n= 56， traditional open surgery） and laparoscopic group （ n =57， hernia crochet assisted single-hole laparoscopic surgery）， and therelevant surgicalindicators，serum inflammatory factors andtheincidence of complicationsofthetwo groups were compared.Follow upfor6months，the recurrence rate of oblique hernia was recorded inboth groups.Result：The operation timeandhospital stayin laparoscopic group were shorter thanthose incontrol group，intraoperative blood loss in laparoscopic group was less than that in control group （ P <0.05）. Three days after surgery， the serum levels of CRP， IL-6 and TNF- α in laparoscopic group were lower than those in control group （ P <0.05）. The complication rate and recurrence rate in laparoscopic group were 7.02% and O， respectively， which were lower than 19.64% and 10.71% in control group （ P <0.05）.Conclusion： Hernia crochet assisted single-hole laparoscopic surgery in the treatment of inguinal incarcerated oblique hemiahas lesstrauma，fasterpostoperativerecovery，andcanefectivelyinhibit the inflammatory response of the body，reduce complications and the recurrence rate ofoblique hernia in children.

[Key words] Incarcerated inguinal oblique hernia Hernia crochet Single-port laparoscopic surgery

First-author's address： Department of Pediatric Surgery， Ganzhou Maternal and Child Health ospital， Ganzhou 341000， China

doi：10.3969/j.issn.1674-4985.2025.10.017

腹股沟嵌顿性斜疝是外科常见急腹症，多因腹股沟内环口闭合不完整而引起，尤其好发于儿童时期，以腹股沟和阴囊处出现柔软、光滑的包块为主要临床表现，若不能及时治疗极易诱发肠梗阻等多种并发症，对患儿生命安全造成严重不利影响[-2]。（剩余5009字）