小儿腹股沟区的应用解剖

《小儿腹股沟区的应用解剖》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、ABSTRACT4-5year-oldchildrenaroundtheinguinalringofthegroinhavenotbeenreported．Becauseofvariousofvesselsandnervesaroundtheinternalringofinguinalhowtoavoidnerveandvesselmjuryofthechildreninthelaparoseopicherniarepairbccomethefocusofclinicaltreatmentandresearch．Thesurgicalmethodsoflapa

2、roscopicinguinalherniarepairinchildrencallbedividedintofivecategories：Theinternalringsuturetheabdominalcavity．Huangqing-lureportsthatintheabdominalcavitywithawileneedlewithintheinnerringfromthestartinterruptedsutureherniaintemalring,suturereliable，butthespermaticvesselsmaybedamaged．

3、Ifsuturctheedgeoftheinternalringaroundthelineofthemouth,thismethodmainlyforsmallerinternalring，diameterofmorethan4～5mminintemalringisthencombinedtendonandarcuateedgestitching,doubleseamtheinnerclosedmouth,SOastoavoidrecun．enceaftersurgery．Becauseintra-abdominalsuture，fieandoperation

4、isrelativelytroublelock,thissurgicalprocedurescarriedoutmoreabroad，thedomesticrarelyreported．Suturetheinternalringoutsidetheabdominalcavity．Prasadetalusedstainlesssteelcurvedawltosuturinginternalring．Harrisonetalchildren、航廿lobliqueinguinalherniacanbecuredsuccessfully、^，itllendoscopi

5、cassistedherniasacinnerringligation．Thisisaherniacollarextraperitonealsuturetoformaseparateclosedstealthringligationmetho也surgery，knottingwereoutsidetheabdominalcavity,simplifyingthesur#calprocedure，shortentheoperationtime，reliableeffic哪fewercomplications，inclinicalapplicationshasbe

6、enmolewidely,butthemainmodeofoperationforsmallerinternalringisnotsuitableforlargeinguinalhernia．Thekeytolaparoscopicrepairoftheinnerobliqueinguinalherniarepairsurgeryinchildrenisextraperitonealfascianeedlesuspensoryligamentofthereal"transvel'∞edgeofsutureligation、)l，itllthearcuatein

7、ner,highligationofherniasacagain,betterthansimplehigllligationofherniasac．WangJian—Fengetalreportedthat硕士学位论文laparoscopicinternalringslitPuriligationtreatmentofchildrenwithspiritualhugemeshherniarepair,theSUCCESShasnotfoundadhesiveintestinalobstructionandlocalindurationandotherlongt

8、ermcomplications，th