探讨单孔腹腔镜疝囊高位结扎术在小儿腹股沟疝治疗中的疗效及安全性。

选取2017年12月至2018年12月首都医科大学附属友谊医院平谷医院收治的小儿腹股沟疝患者94例，根据所行手术方式不同分为试验组及对照组，每组47例。试验组行切口腹腔镜疝囊高位结扎术，对照组行开放疝囊高位手术。比较2组临床疗效，统计2组手术时间、住院时间、下床活动时间、术中出血量及术后并发症发生率。

治疗后试验组总有效率为95.74%，显著高于对照组的80.85%，差异有统计学意义（P<0.05）；试验组患儿手术、住院及下床活动时间与对照组相比明显缩短，术中出血量与对照组相比明显降低（P<0.05）；术后试验组阴囊水肿及继发鞘膜积液等并发症发生率显著低于对照组（P<0.05）。

单孔腹腔镜疝囊高位结扎术治疗小儿疝可显著缓解患儿临床症状，改善患者手术指标的同时有效控制术后并发症，值得临床推广。

To investigate the efficacy and safety of single-port laparoscopic high ligation of the hernia sac in the treatment of pediatric inguinal hernia.

94 cases children with pediatric hernia in our hospital were selected and divided into experimental group and control group according to the different surgeries, each group for 47 cases. The experimental group received incision laparoscopic high ligation of the hernia sac, while the control group received open high surgery of the hernia sac. The clinical efficacy of the 2 groups was compared, and the time of operation, hospitalization time, time to get out of bed, the amount of bleeding during surgery and the incidence of postoperative complications of the 2 groups were statisticsed.

The total effective rate in the experimental group was 95.74%, which was significantly higher than that in the control group (85.11%) (P<0.05); the time of operation, hospitalization time, and time to get out of bed in the experimental group were significantly shorter than those in the control group, the amount of bleeding during surgery in the experimental group was less than that in the control group (P<0.05); the incidence of complications such as scrotal edema and secondary hydrocele in the experimental group was lower than that of the control group (P<0.05).

Single-port laparoscopic high ligation of hernia sac in the treatment of pediatric hernia can significantly relieve clinical symptoms, improve surgical indicators of patients and effectively control postoperative complications, which is worthy of clinical promotion.